Individual
TAYLOR NICOLE WOON HEE KASPRZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LADC
Contact information
Practice address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(651) 424-4042
Mailing address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(651) 424-4042
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305913
MN
104100000X
Social Worker
Primary
29530
MN
Other
Enumeration date
07/18/2022
Last updated
08/07/2026
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