Individual
KELLY DULOHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1695 LOR RAY DR, NORTH MANKATO, MN 56003-2804
(507) 385-6548
Mailing address
1695 LOR RAY DR, NORTH MANKATO, MN 56003-2804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20650
MN
Other
Enumeration date
07/24/2015
Last updated
01/21/2021
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