Individual
MR. KEVIN PATRICK WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW,LICSW
Contact information
Practice address
2414 PARK AVE, MINNEAPOLIS, MN 55404-3713
(612) 876-5320
(612) 879-5272
Mailing address
3009 E 29TH ST, MINNEAPOLIS, MN 55406-1602
(612) 729-1967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LICSW 15672
MN
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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