Individual
KENDALL LEONA DOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1527 E LAKE ST, MINNEAPOLIS, MN 55407-6700
(612) 460-5379
Mailing address
1527 E LAKE ST, MINNEAPOLIS, MN 55407-6700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20780
MN
Other
Enumeration date
09/06/2017
Last updated
03/23/2023
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