Provider Information for 1366825614
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KIRSTINA EMANS MSW, LICSW
Other Names:Professional Name:KIRSTINA QUAST MSW LICSWSex: Female
NPI: 1366825614
Last Updated: 2024-02-23
Certification Date: 2024-02-23
Certification Date: 2024-02-23
Details
| Name | Value | ||||||||
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| NPI | 1366825614 | ||||||||
| Enumeration Date | 2015-07-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 49725 COUNTY 83 STAPLES, MN 56479-5280 United States Phone: 218-894-1515 | Fax:218-894-8767 | ||||||||
| Primary Practice Address | 49725 COUNTY 83 STAPLES, MN 56479-5280 United States Phone: 218-894-1515 | Fax:218-894-8767 | ||||||||
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