Individual
KRISTEN CAFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2720 FAIRVIEW AVE N STE 100, ROSEVILLE, MN 55113-1306
(612) 910-2090
Mailing address
3734 GLENHURST AVE, SAINT LOUIS PARK, MN 55416-4914
(612) 910-2090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19898
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543213800
—
MN
Enumeration date
06/16/2014
Last updated
04/25/2022
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