Individual
KAI CREMISIUS PAVUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LGSW
Contact information
Practice address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(320) 288-3680
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32739
MN
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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