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Provider Information for 1548953664


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RICHELLE H KRAMER LICSW


Sex: Female

NPI: 1548953664
Last Updated: 2023-06-02
Certification Date: 2023-06-02

Details

NameValue
NPI1548953664
Enumeration Date2023-06-02
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1801 3RD AVE SW
BUFFALO, MN 55313-2266
United States

Phone: 612-269-9052 | Fax:
 
Primary Practice Address 1801 3RD AVE SW
BUFFALO, MN 55313-2266
United States

Phone: 612-269-9052 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Multiple Single Specialty Group
1041C0700X - Social Worker - Clinical
MN20856