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Individual

KAREN JEAN HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
425 20TH AVE S, MINNEAPOLIS, MN 55454-4400
(612) 332-4973
(612) 371-0289
Mailing address
425 20TH AVE S, MINNEAPOLIS, MN 55454-4400
(612) 332-4973
(612) 371-0289

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4963
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4963
BOARD OF SOCIAL WORK LICENSE
MN
Enumeration date
06/24/2010
Last updated
06/24/2010
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