Individual
KAELYN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
5354 PARKDALE DR, MINNEAPOLIS, MN 55416-1603
(866) 821-0281
Mailing address
431 CLIFTON PL, MINNEAPOLIS, MN 55403
(612) 816-1629
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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