Individual
KAYCIE DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 DUPONT AVE S STE 201, MINNEAPOLIS, MN 55405-2719
(651) 300-3688
Mailing address
1052 19TH AVE SE, MINNEAPOLIS, MN 55414-2553
(612) 387-3632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
27390
MN
1041C0700X
Clinical Social Worker
Primary
27390
MN
Other
Enumeration date
10/21/2020
Last updated
04/09/2024
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