Individual
KAILEY MARIE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2001 BEAM AVE, MAPLEWOOD, MN 55109-1401
(952) 826-8475
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27801
MN
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/10/2021
Last updated
09/15/2021
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