Individual
LOURDES MAE KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
410 30TH AVE E, ALEXANDRIA, MN 56308-4769
(320) 255-6322
Mailing address
410 30TH AVE E, ALEXANDRIA, MN 56308-4769
(320) 556-3222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
27800
MN
1041C0700X
Clinical Social Worker
Primary
27800
MN
Other
Enumeration date
10/28/2020
Last updated
03/04/2025
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