Individual
KATHLEEN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
16123 GRANT UTLEY AVE NW, CASS LAKE, MN 56633
(218) 335-3050
(218) 335-4410
Mailing address
115 6TH ST NW STE E, CASS LAKE, MN 56633-3428
(218) 335-3050
(218) 335-4410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21383
MN
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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