Individual
KATHLEEN MICHELLE SPROLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
501 HIGHWAY 13 E, SUITE 108, BURNSVILLE, MN 55337-2884
(952) 564-3000
(952) 564-3031
Mailing address
501 HIGHWAY 13 E, SUITE 108, BURNSVILLE, MN 55337-2884
(952) 564-3000
(952) 564-3031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19396
MN
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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