Individual provider · NPI-1

Kadie Jo Budahn

Social Worker, Clinical · Eden Prairie, MN

NPI number1376215988
StatusActive
Last updated in NPPESOct 1, 2021

Details

NPI
1376215988
Entity type
Individual (NPI-1)
Name
Kadie Jo Budahn
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2021
Certification date
Oct 1, 2021
Last updated
Oct 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

300 Prairie Center Dr Ste 110
Eden Prairie, MN 55344-7906

Phone 855-284-7483 · Fax 617-807-0958

Mailing address

1000 Jefferson St Ste 2c
Lynchburg, VA 24504-1724

Phone 855-284-7483 · Fax 617-807-0958

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