Kimberly Anderson, LICSW
Social Worker, Clinical in Brooklyn Park, MN. Individual provider (NPI-1).
NPI number1033865605
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1033865605
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Anderson
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2022
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
9400 Zane Ave NBrooklyn Park, MN 55443-1814
Phone 952-826-8424
Mailing address
150 Gebhardt RdBlack River Falls, WI 54615-9111
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