Southworth, Kristin

Southworth, Kristin is an individual health care provider with primary practice located at 18205 45Th Ave N Ste C , Plymouth MN 55446-4594. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Southworth, Kristin can be contacted via phone (651) 478-4099.

Contact Information

Primary practice address
18205 45Th Ave N Ste C Plymouth MN 55446-4594
Phone: (651) 478-4099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2296 Minnesota

Profile Details

NPI number 1962040469
LBN Legal business name Southworth, Kristin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2019
Last updated Jan 6th, 2023 - about 2 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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