Individual
MRS. KATHLEEN PATRICIA WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3021 HARBOR LN N, SUITE 210, PLYMOUTH, MN 55447-5109
(763) 559-7050
(763) 559-7060
Mailing address
3021 HARBOR LN N, SUITE 210, PLYMOUTH, MN 55447-5109
(763) 559-7050
(763) 559-7060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18100
MN
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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