Individual
EVELYN KEBAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 PORTLAND AVE, MC 963, MINNEAPOLIS, MN 55415-1533
(612) 387-7515
Mailing address
2801 FLAG AVE N, # 219, NEW HOPE, MN 55427-2400
(651) 308-0820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21045
MN
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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