Individual
MRS. KIM MICHELLE TANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9000 QUANTRELLE AVE NE STE 200, OTSEGO, MN 55330-1041
(763) 219-3212
Mailing address
9000 QUANTRELLE AVE NE STE 200, OTSEGO, MN 55330-1041
(763) 219-3212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18649
MN
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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