Individual
KIMBERLY JANE HAWKINS-PANKRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.D.C
Contact information
Practice address
13021 EVERGREEN DR, BAXTER, MN 56425-7439
(218) 829-9307
Mailing address
26864 NORWAY LN, CROSBY, MN 56441-2356
(218) 330-0785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303572
MN
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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