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Individual

KIMBERLY JEAN ENDRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
3115 HENNEPIN AVE, MINNEAPOLIS, MN 55408-2620
(612) 444-9741
(612) 484-4064
Mailing address
1223 JUNO AVE, SAINT PAUL, MN 55116-1659
(612) 715-3933
(651) 333-4746

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16550
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
587434300
MN
Enumeration date
07/24/2006
Last updated
05/26/2025
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