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Kimberly Jean Sletta Avenson, MSW, LICSW

Social Worker, Clinical in Bemidji, MN. Individual provider (NPI-1).

NPI number1154422012
StatusActive
Last updated in NPPESDec 13, 2019

Details

NPI
1154422012
Entity type
Individual (NPI-1)
Name
Mrs. Kimberly Jean Sletta Avenson
Credential
MSW, LICSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 25, 2006
Certification date
Dec 13, 2019
Last updated
Dec 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical15400MNYes

Practice location

722 15th Street N.W.
Bemidji, MN 56619-0640

Phone 218-751-3280 · Fax 218-751-3298

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

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