Individual
MS. KIMBERLY ANN CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
200 4TH AVE W, SHAKOPEE, MN 55379-1220
(952) 496-8565
(952) 496-8355
Mailing address
6575 OLIVE LN N, MAPLE GROVE, MN 55311-2992
(320) 224-0974
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5213
MN
Other
Enumeration date
11/28/2006
Last updated
04/26/2010
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