Individual
CORIE STEWART MCKIBBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
10 N 1ST AVE E STE 202, ELY, MN 55731-1473
(218) 216-8467
(218) 261-9083
Mailing address
1109 RINGROCK RD, ELY, MN 55731-8235
(218) 216-8467
(218) 261-9083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25428
MN
Other
Enumeration date
01/23/2020
Last updated
03/05/2021
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