Individual
KRISTY JUNE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
722 NW 7TH ST, BRAINERD, MN 56401-2912
(218) 855-1115
Mailing address
722 NW 7TH ST, BRAINERD, MN 56401-2912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27530
MN
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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