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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY PAUL KEIFENHEIM, MSW, LICSW

Active Sole Proprietor

GARY PAUL KEIFENHEIM, MSW, LICSW is a Clinical Social Worker healthcare provider located in BROOKLYN PARK, Minnesota. NPI 1205903705 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BROOKLYN PARK, MN

Registration Details

NPI Number
1205903705
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2006 (19.678809889737 yrs)
Last Updated
Jul 8, 2007
License
LICSW06601 (MN)
Sole Proprietor
Yes

Practice Information

Address
6900 78TH AVE N
BROOKLYN PARK, MN, 554452719
Browse MN providers · Browse ZIP 55445
Phone
7635604412
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BROOKLYN PARK, MN

Name Credential NPI
MS. MIREILLE ANNE BARDY LICSW 1609964725
MS. JOSEPHINE AMAKA NWOKE MSW, LICSW 1548330897
MS. KATELYN MARIAH M.A, LICSW 1063579936
SARAH DINGA THILMONY LICSW 1316198823
MRS. SUSAN ELIZABETH PRANGE GATTO LICSW 1104120203
SARAH BAKER LICSW 1144507963
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.