Individual
KIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MBA, LICSW
Contact information
Practice address
2120 PARK AVE, MINNEAPOLIS, MN 55404-3378
(612) 872-2000
(612) 871-1375
Mailing address
800 MINNEHAHA AVE E STE 330, SAINT PAUL, MN 55106-4437
(651) 717-8011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23580
MN
Other
Enumeration date
07/05/2017
Last updated
04/02/2019
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