Individual
KAYLEEN RAE VIEBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11 CIVIC CENTER PLZ STE 205, MANKATO, MN 56001-7718
(073) 454-6795
(507) 345-8685
Mailing address
11 CIVIC CENTER PLZ STE 205, MANKATO, MN 56001-7718
(507) 345-4679
(507) 345-8685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28654
MN
Other
Enumeration date
12/13/2022
Last updated
12/05/2023
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