Individual
MRS. KIMBERLY ASHLEY WESTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
520 NW 5TH ST, BRAINERD, MN 56401-2902
(218) 829-3235
Mailing address
3708 FOX LN, PEQUOT LAKES, MN 56472-3068
(218) 839-4082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19197
MN
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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