Kelly Ann Street
NPI #1053034975 in Northfield, Minnesota
Provider Information
- NPI Number
- 1053034975
- Entity Type
- Individual
- Name
- Kelly Ann Street
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Sep 26, 2022
- Last Updated
- Sep 26, 2022
Practice Location
- Address
- 41 FAREWAY DR
- City
- Northfield
- State
- Minnesota
- ZIP Code
- 55057-2643
- Phone
- (651) 278-1406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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