Individual
KATHLEEN FRANCES WEINBENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1310 HIGHWAY 96 E, SUITE #200, WHITE BEAR LAKE, MN 55110-3624
(651) 647-1900
Mailing address
1310 HIGHWAY 96 E, SUITE #200, WHITE BEAR LAKE, MN 55110-3624
(651) 647-1900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
08401
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08401
LICSW LICENCE
MN
01
—
HP31287
HEALTH PARTNERS
MN
Enumeration date
10/10/2007
Last updated
12/04/2007
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