Individual
CARLY L KABITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2308 AUERBACH ST, ROSEVILLE, MN 55113-4724
(651) 300-9897
Mailing address
2308 AUERBACH ST, ROSEVILLE, MN 55113-4724
(651) 300-9897
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28964
MN
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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