Individual
KELSEY NICOLE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15265 CARROUSEL WAY STE 100, ROSEMOUNT, MN 55068-1760
(952) 443-4600
Mailing address
15265 CARROUSEL WAY STE 100, ROSEMOUNT, MN 55068-1760
(952) 443-4600
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4499
MN
Other
Enumeration date
05/24/2023
Last updated
05/14/2024
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