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Individual

KELLY S EICKHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
104100000X
Social Worker
21596
MN

Other

Enumeration date
09/24/2018
Last updated
09/08/2022
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