Individual
KIMBERLY JEANE DWINNELL-DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W
Contact information
Practice address
13045 FALCON DR STE 100, BAXTER, MN 56425-4201
(218) 829-9307
(218) 829-7649
Mailing address
106 NORWAY CT, BRAINERD, MN 56401-4500
(218) 232-3089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22187
MN
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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