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General NPI Number Information
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NPI Number | 1952913014
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Entity Type | Individual
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Provider Name | KELSEY ANN STENDER LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 7601 WAYZATA BLVD
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-1623
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Country | US
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Telephone | 612-223-8898
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Fax | 612-223-8899
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Provider Business Mailing Address
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Address Line | 7601 WAYZATA BLVD
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-1623
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 28286
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 79886
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12248479-3502
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.025574
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 28286
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License Number State | MN
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