Organization
KIMBERLY PERSAUD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAPELLA UNIVERSITY 1053078444 MPA (KELLY BROOKS)
(612) 977-5000
Entity
Organization
Contact information
Practice address
225 S 6TH ST STE 9, MINNEAPOLIS, MN 55402-4643
(612) 977-5000
Mailing address
723 ESSEX ST PH, BROOKLYN, NY 11208-4407
(347) 600-9463
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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