Individual
MS. KIMBERLY ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LICSW
Contact information
Practice address
1919 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3453
(651) 266-7901
(651) 266-7854
Mailing address
1919 UNIVERSITY AVE W STE 200, SAINT PAUL, MN 55104-3435
(651) 266-7901
(651) 266-7854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10611
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896484000
—
MN
Enumeration date
12/28/2006
Last updated
07/15/2008
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