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Individual

KRISTA BEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 548-8618
(952) 939-9266
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 548-8618
(952) 939-9266

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16447
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16447
STATE LICENSE
MN
Enumeration date
06/01/2009
Last updated
06/01/2009
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