Individual
KIMBERLY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2388 UNIVERSITY AVE W # 202, SAINT PAUL, MN 55114-1769
(612) 568-5073
Mailing address
2388 UNIVERSITY AVE W # 202, SAINT PAUL, MN 55114-1769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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