Individual
KIMBERLY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16016 233RD ST, LITTLE FALLS, MN 56345-5583
(320) 632-5524
(888) 991-2741
Mailing address
16016 233RD ST, LITTLE FALLS, MN 56345-5583
(320) 632-5524
(888) 991-2741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3795
MN
Other
Enumeration date
04/06/2023
Last updated
10/24/2023
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