Individual
KATELYN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38868 12TH AVE # 2021, NORTH BRANCH, MN 55056-6658
(507) 565-6633
Mailing address
38868 12TH AVE # 2021, NORTH BRANCH, MN 55056-6658
(507) 427-6515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26289
MN
Other
Enumeration date
09/09/2020
Last updated
10/09/2023
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