Organization
KINDRED FAMILY SERVICES
Active
Other names
PATH MINNESOTA INC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HENDRICKSON (CEO)
(763) 271-1670
Entity
Organization
Contact information
Practice address
9766 FALLON AVE NE STE 104, MONTICELLO, MN 55362-4589
(763) 271-1670
Mailing address
9766 FALLON AVE NE STE 104, MONTICELLO, MN 55362-4589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/14/2011
Last updated
10/20/2011
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