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NPI Code Detail

MEDICARE: KIM-ANH TRAN LICSW

MEDICARE: KIM-ANH TRAN LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker32049MN

General Provider Information

NPI Number : 1952911828
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM-ANH TRAN LICSW
Provider Business Mailing Address
First Line : 652 BIELENBERG DR STE 104
Second Line :
City : WOODBURY
State : MN
Zip : 55125-4416
Country : US
Telephone Number : 651-313-8080
Fax Number :
Provider Business Practice Location Address
First Line : 652 BIELENBERG DR STE 104
Second Line :
City : WOODBURY
State : MN
Zip : 55125-4416
Country : US
Telephone Number : 651-313-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2020
Last Update Date : 12/10/2025

Similar Medicare Providers

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1689323040 — JODIE JAMES LICSW
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Directions to “ KIM-ANH TRAN LICSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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