Individual
KIMBERLY PAULETTE SERSLAND BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP, LPCC
Contact information
Practice address
4432 CHICAGO AVENUE SOUTH, MINNEAPOLIS, MN 55407
(612) 870-2442
Mailing address
1281 SHRYER AVE W, ROSEVILLE, MN 55113-5937
(612) 597-4135
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC00257
MN
103T00000X
Psychologist
Primary
LP5092
MN
Other
Enumeration date
03/08/2007
Last updated
01/15/2012
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