Individual
MRS. KAITLIN EVE PYSNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2400 W 64TH ST, RICHFIELD, MN 55423-1001
(612) 798-8310
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 548-8764
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
26420
MN
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
11/04/2020
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