Individual
KELLIE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 RIDGE DR APT 201, SAINT LOUIS PARK, MN 55416-5652
(763) 213-9793
Mailing address
2562 7TH AVE E STE 201, SAINT PAUL, MN 55109-3037
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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