Keighley L Null
Social Worker, Clinical in St. Paul, MN. Individual provider (NPI-1).
NPI number1023536679
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1023536679
- Entity type
- Individual (NPI-1)
- Name
- Keighley L Null
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1619 Dayton Ave #112bSt. Paul, MN 55104
Phone 612-889-7517
Mailing address
1619 Dayton Ave #112bSt. Paul, MN 55104
Phone 612-889-7517
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