Individual
LILLIAN KALLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1856 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1162
(651) 661-6550
(651) 661-6551
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
02/25/2025
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