Individual
MRS. KRISTY LEE WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5095 FISH LAKE RD, DULUTH, MN 55803-8433
(218) 733-1331
(218) 733-0499
Mailing address
114 S 20TH AVE W STE A, DULUTH, MN 55806-3526
(218) 733-1331
(218) 733-0499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13528
MN
Other
Enumeration date
05/13/2010
Last updated
05/04/2011
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