KELLY JOAN CARLSON GIBAS

MAPLE GROVE, MN
NPI1588189955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TB0200X Psychologist, Cognitive & Behavioral
(Licence: MN  cc01539)
Additional Taxonomies133NN1002X Nutritionist, Nutrition, Education
174H00000X Health Educator
Enumeration Date2017-08-07
Last Update Date2017-08-07
Business Address
Dr. KELLY JOAN CARLSON GIBAS DBH
13700 REIMER DR N STE 220
MAPLE GROVE, MN 55311-4548
Phone number: 763-424-2474
Mailing Address
Dr. KELLY JOAN CARLSON GIBAS DBH
9060 203RD AVE NW
ELK RIVER, MN 55330-8052
Phone number: 763-913-4387