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Individual

KIMBERLY N GUILMNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
715 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-2500
(218) 463-4782
Mailing address
715 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-2500
(218) 463-4782

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18138
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18138
MN LICENSE NUMBER
MN
Enumeration date
09/30/2009
Last updated
09/30/2009
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