Individual
MS. MARIE THERESE KIGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 1ST ST S, SAINT CLOUD, MN 56301-3974
(320) 252-2706
Mailing address
2411 1ST ST S, SAINT CLOUD, MN 56301-3974
(320) 252-2706
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1023555-2-AFC
MN
385H00000X
Respite Care
207072-3-CEC
MN
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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