GARY PAUL KEIFENHEIM

BROOKLYN PARK, MN
NPI1205903705
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  LICSW06601)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
-- GARY PAUL KEIFENHEIM MSW, LICSW
6900 78TH AVE N
BROOKLYN PARK, MN 55445-2719
Phone number: 763-560-4412
Mailing Address
-- GARY PAUL KEIFENHEIM MSW, LICSW
19425 IRVING CIRCLE
ELK RIVER, MN 55330
Phone number:
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