Individual
ELIZABETH R KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
530 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-5360
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(218) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
18943
MN
1041C0700X
Clinical Social Worker
Primary
18943
MN
Other
Enumeration date
10/26/2015
Last updated
04/26/2018
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