Individual
KASSIA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1821 UNIVERSITY AVE W STE 219, SAINT PAUL, MN 55104-2892
(612) 501-1888
Mailing address
6738 MEADOW GRASS LN S, COTTAGE GROVE, MN 55016-1000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20773
MN
Other
Enumeration date
09/20/2019
Last updated
09/25/2024
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