Individual
ABIGAIL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
8500 EDINBROOK PKWY, BROOKLYN PARK, MN 55443
(763) 488-4084
Mailing address
14115 JAMES RD, STE 305, ROGERS, MN 55374-9417
(763) 427-7964
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19973
MN
Other
Enumeration date
12/13/2012
Last updated
12/11/2020
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