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Kaila Formanek, LGSW
Mental Health Counselor in Minneapolis, Minnesota
NPI 1982313730

Kaila Formanek is a Mental Health Counselor based in Minneapolis, MN and is specialized in Mental Health. Kaila Formanek practices in Minneapolis, MN and has the professional credentials of LGSW. The NPI Number for Kaila Formanek is 1982313730 and holds a License No. (Minnesota).

The current practice location address for Kaila Formanek is 410 Church St Se, Minneapolis, MN and can be reached out via phone at 612-625-8400.

Location: 410 Church St Se, Minneapolis, MN, 55455-0222
person
Provider Profile Details
NPI Number
1982313730
Provider Name
Kaila Formanek
Credential
LGSW
Provider Entity Type
Individual
Gender
Female
Address
410 Church St Se, Minneapolis, MN, 55455-0222
Phone Number
612-625-8400
Fax Number
Provider Enumeration Date
11/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013137355 05 MN
institution
Provider Business Practice Location Address Details
Address
410 Church St Se
City
State
Zip
55455-0222
Phone Number
612-625-8400
Fax Number
person
Provider Business Mailing Address Details
Address
410 Church St Se
City
State
Zip
55455-0222
Phone Number
612-625-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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