Individual
KYLE JENDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1 VETERANS DR, UNIT 1K, MAIL STOP 116A, MINNEAPOLIS, MN 55417-2309
(612) 467-3244
Mailing address
1 VETERANS DR, UNIT 1K, MAIL STOP 116A, MINNEAPOLIS, MN 55417-2309
(612) 467-3244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19905
MN
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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