Individual
CAROLINE ELIZABETH KERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(661) 340-0906
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(661) 340-0906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
F7030821
CA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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