Individual
MS. JILL DIANE KELPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1407 S STATE STREET, NEW ULM, MN 56073
(507) 354-3181
(507) 354-3183
Mailing address
1407 S STATE STREET, NEW ULM, MN 56073
(507) 354-3181
(507) 354-3183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14876
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026046
PREFERRED ONE
—
01
—
141950
UCARE
—
01
—
32G97KE
BCBS
—
Enumeration date
08/18/2006
Last updated
07/08/2007
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