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KWST TARGETED BEHAVIORAL DEVELOPMENT GROUP
333 WASHINGTON AVE N STE 323
MINNEAPOLIS, MN55401-1366
 Phone: 612-518-6009
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for KWST TARGETED BEHAVIORAL DEVELOPMENT GROUP · (Female)

NPI Number 1376151977
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2020
Last updated 12/08/2022 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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