Individual
KELLI LEE RIKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
FOND DU LAC HUMAN SERVICES DIVISION, 927 TRETTEL LANE, CLOQUET, MN 55720
(218) 879-1227
(218) 878-3755
Mailing address
2016 CARLTON AVE, CLOQUET, MN 55720-2133
(218) 879-8532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17085
MN
Other
Enumeration date
05/08/2007
Last updated
09/25/2008
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