Individual
KELLIE C BERNAL DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11671 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-4784
(612) 223-8898
Mailing address
11671 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-4784
(612) 223-8898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27288
MN
Other
Enumeration date
08/12/2021
Last updated
03/31/2026
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