Individual
MRS. KALI KATHERINE ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
11800 WAYZATA BLVD, MINNETONKA, MN 55305-2010
(612) 271-1665
Mailing address
6734 BERKSHIRE LN N, MAPLE GROVE, MN 55311-3531
(920) 328-3551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26540
MN
Other
Enumeration date
08/27/2020
Last updated
08/31/2020
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