Individual
KANDEE KUBAT TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1404 IDAHO AVE E, SAINT PAUL, MN 55106-1218
(612) 251-1753
Mailing address
1404 IDAHO AVE E, SAINT PAUL, MN 55106-1218
(612) 251-1753
(888) 977-2056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15043
MN
Other
Enumeration date
10/12/2006
Last updated
02/02/2024
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