Individual
MARY ALICE KALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2450 26TH AVE S, MINNEAPOLIS, MN 55406-1245
(612) 728-2455
Mailing address
7701 W 13 1/2 ST, ST LOUIS PARK, MN 55426-2001
(952) 512-0876
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3738
MN
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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