Individual
MS. ILONA SUSAN KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3229 2ND AVE E, HIBBING, MN 55746-2675
(218) 263-8147
Mailing address
3229 2ND AVE E, HIBBING, MN 55746-2675
(218) 263-8147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4257
MN
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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