Individual
MS. KIMBERLY LYNNE SOBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7914 113TH AVE N, CHAMPLIN, MN 55316-3766
(612) 483-6452
Mailing address
7914 113TH AVE N, CHAMPLIN, MN 55316-3766
(612) 483-6452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23506
MN
Other
Enumeration date
06/29/2021
Last updated
09/14/2023
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