Organization
KIEL WALTERS LICSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIEL WALTERS LICSW (OWNER)
(612) 787-2475
Entity
Organization
Contact information
Practice address
5200 WILLSON RD STE 210, EDINA, MN 55424-1343
(612) 787-2475
Mailing address
5200 WILLSON RD STE 210, EDINA, MN 55424-1343
(612) 787-2475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
01/08/2020
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