Oftedahl-Brooks, Kimberly Jean

Oftedahl-Brooks, Kimberly Jean is an individual health care provider with primary practice located at 6200 Shingle Creek Pkwy Ste 350 , Brooklyn Center MN 55430. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Oftedahl-Brooks, Kimberly Jean can be contacted via phone (763) 503-8560.

Contact Information

Primary practice address
6200 Shingle Creek Pkwy Ste 350 Brooklyn Center MN 55430
Phone: (763) 503-8560
Fax: (763) 503-8563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16008 Minnesota

Profile Details

NPI number 1356467856
LBN Legal business name Oftedahl-Brooks, Kimberly Jean
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 2nd, 2018 - about 8 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 1356467856 NPPES
Minnesota Other 884415100 MHCP

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