Individual
KATHRYN RENAE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 289-2089
Mailing address
8305 FLAGSTONE CV, ALEXANDER, AR 72002-9253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6656
MN
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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