Kathryn Grace Madson, LICSW
Social Worker, Clinical in Minneapolis, MN. Individual provider (NPI-1).
NPI number1679124366
StatusActive
Last updated in NPPESSep 24, 2019
Details
- NPI
- 1679124366
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Grace Madson
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2019
- Last updated
- Sep 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 15785 | MN | Yes |
Practice location
401 Harding St Ne Ste 100Minneapolis, MN 55413-2801
Phone 612-398-7000
Mailing address
401 Harding St Ne Ste 100Minneapolis, MN 55413-2801
Phone 612-398-7000
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