Individual
KAYLA RAE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
420 E SARNIA ST, WINONA, MN 55987-6365
(507) 454-4341
(507) 453-6267
Mailing address
420 E SARNIA ST, WINONA, MN 55987-6365
(507) 454-4341
(507) 205-4296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23064
MN
Other
Enumeration date
04/17/2018
Last updated
11/14/2018
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