Individual
MRS. KATHLEEN A CARON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
220 RAILROAD ST SE, THERAPEUTIC SEREVICES AGANCY INC, PINE CITY, MN 55063-1540
(320) 629-7600
(320) 629-7900
Mailing address
401 DIVISION ST S, STE C, NORTHFIELD, MN 55057-2096
(651) 605-6020
(651) 605-6020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2092
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
909669800
—
MN
Enumeration date
09/20/2005
Last updated
03/09/2017
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