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Individual

KADIE JOSEPHINE KROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LADC

Contact information

Practice address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3835
(763) 509-3830
Mailing address
11505 36TH AVE N, PLYMOUTH, MN 55441-2304
(763) 509-3835
(763) 509-3830

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/22/2025
Last updated
12/22/2025
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