KRISTIN SOUTHWORTH

PLYMOUTH, MN
NPI1962040469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  2296)
Enumeration Date2019-12-16
Last Update Date2023-01-06
Business Address
KRISTIN SOUTHWORTH
18205 45TH AVE N STE C
PLYMOUTH, MN 55446-4594
Phone number: 651-478-4099
Mailing Address
KRISTIN SOUTHWORTH
868 CARROLL AVE
SAINT PAUL, MN 55104-5411
Phone number:
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