Individual
KERRY CLARK TOMHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5 N 3RD AVE W STE 310, DULUTH, MN 55802-1614
(218) 722-2368
Mailing address
5 N 3RD AVE W STE 310, DULUTH, MN 55802-1614
(218) 722-2368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23690
MN
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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