Most Relevant Information
Provider Data
| NPI Number: | 1003635848 |
| Provider Name: | KAITLYN CROWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 28379 |
Most Important Dates
| Enumeration Date: | 10/08/2024 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
9910 DREW AVE S APT 107
BLOOMINGTON
MN
554312780
Practice Location Phone/Fax
| Phone: | 3202497214 |
| Fax: |
Provider Mailing Location
9910 DREW AVE S APT 107
BLOOMINGTON
MN
554312780
Provider Mailing Phone/Fax
| Phone: | 3202497214 |
| Fax: |