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1629597323
KIRA LARSON FIELDSTROM
MINNEAPOLIS, MN
NPI
1629597323
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Former Name
KIRA FIELDING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 25897)
Enumeration Date
2017-09-13
Last Update Date
2017-09-13
Business Address
KIRA LARSON FIELDSTROM LICSW
2400 BLAISDELL AVE.
MINNEAPOLIS, MN 55404
Phone number: 612-516-5472
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Mailing Address
KIRA LARSON FIELDSTROM LICSW
3440 17TH AVE S
MINNEAPOLIS, MN 55407
Phone number: 612-735-1253
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