Conlon, Kathleen Mary

Conlon, Kathleen Mary is an individual health care provider with primary practice located at 3919 W 44Th St Ste 200 , Edina MN 55424-1032. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Conlon, Kathleen Mary can be contacted via phone (952) 922-1977.

Contact Information

Primary practice address
3919 W 44Th St Ste 200 Edina MN 55424-1032
Fax: (952) 922-1980
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5735 Minnesota

Profile Details

NPI number 1407075401
LBN Legal business name Conlon, Kathleen Mary
Credentials L.I.C.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407075401 NPPES
Minnesota Other 5H605CO BLUE SHIELD INDIVIDUAL

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