Individual
KELLY HILDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
15 2ND ST NW, BUFFALO, MN 55313-1357
(763) 612-2097
Mailing address
204 4TH AVE NW, BUFFALO, MN 55313-1019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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