Individual
KRISTIN R MASTERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2100 3RD AVE, ANOKA, MN 55303-2235
(763) 227-7166
Mailing address
9107 UNIVERSITY AVE NE, BLAINE, MN 55434-8003
(763) 227-7166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28573
MN
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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