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General NPI Number Information
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NPI Number | 1407125354
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Entity Type | Organization
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Legal Business Name | RACHEL KREMER LICSW
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 302 W SUPERIOR ST STE 305
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City | DULUTH
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State | MN
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Zip | 55802-5125
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Country | US
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Telephone | 218-606-0540
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 STEVENS AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-3529
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Country | US
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Telephone | 612-822-4539
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | RACHEL YVONNE LUND KREMER
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Credential | LICSW, MSW
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Telephone | 612-822-4539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12821
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License Number State | MN
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