Individual
MS. KIMBER-LEE OSOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4700 S WASHINGTON ST STE G, GRAND FORKS, ND 58201-8123
(701) 205-3000
(701) 732-2501
Mailing address
PO BOX 5210, GRAND FORKS, ND 58206-5210
(701) 205-3000
(701) 732-2501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10370
MN
1041C0700X
Clinical Social Worker
Primary
2078
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456158
—
ND
05
—
316720800
—
MN
01
—
39Q72OS
MN BC/BS
MN
Enumeration date
04/26/2006
Last updated
01/02/2020
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