Individual
KIMBERLY CHARLOTTE CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 MAIN ST N, CAMBRIDGE, MN 55008-1275
(763) 228-2772
Mailing address
22032 E BETHEL BLVD NE, CEDAR, MN 55011-4616
(763) 228-2772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
MN
Enumeration date
10/11/2022
Last updated
10/11/2022
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