| Kimberly Endres Llc | |
|
90 Dale St S Ste 9 Saint Paul MN 55102-2812 | |
| (651) 333-4366 | |
| (651) 333-4746 |
| Full Name | Kimberly Endres Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 90 Dale St S Ste 9, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kimberly J Endres (OWNER) |
| Authorized Official Contact | 6127153933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Endres Llc 1223 Juno Ave Saint Paul MN 55116-1659 Ph: (612) 715-3933 | Kimberly Endres Llc 90 Dale St S Ste 9 Saint Paul MN 55102-2812 Ph: (651) 333-4366 |
| NPI Number | 1326860859 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326860859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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