Individual
MRS. KRISTY JEAN DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1650 MADISON AVE STE 102, MANKATO, MN 56001-5471
(507) 345-7012
(507) 388-6937
Mailing address
124 VIKING CT, MANKATO, MN 56001-2482
(507) 317-3981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22408
MN
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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