| K.i.d.s.&family Therapy,llc | |
|
11157 Zealand Ave N Champlin MN 55316-3595 | |
| (763) 710-9949 | |
| Not Available |
| Full Name | K.i.d.s.&family Therapy,llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11157 Zealand Ave N, Champlin, Minnesota |
| Authorized Official Name and Position | Deborah K Otto (ADMINISTRATOR) |
| Authorized Official Contact | 7633238050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K.i.d.s.&family Therapy,llc 11157 Zealand Ave N Champlin MN 55316-3595 Ph: (763) 710-9949 | K.i.d.s.&family Therapy,llc 11157 Zealand Ave N Champlin MN 55316-3595 Ph: (763) 710-9949 |
| NPI Number | 1922497965 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922497965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5822 (Minnesota) | Primary |
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