Individual
KARI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
932 E 34TH ST, MPLS, MN 55407
(612) 204-8250
Mailing address
1200 2ND AVE S, MINNEAPOLIS, MN 55403-2513
(612) 204-8500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20514
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20514
LICSW
MN
Enumeration date
08/19/2015
Last updated
08/19/2015
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