Individual
KIERSTEN TDEJAH BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 GRAND AVE S APT 111, MINNEAPOLIS, MN 55408-2227
(612) 702-1215
Mailing address
2800 GRAND AVE S APT 111, MINNEAPOLIS, MN 55408-2227
(612) 702-1215
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MN
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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