Doctor Name: | MS. MARCIA ELAINE KAUFMANN |
NPI Number: | 1215197678 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW ACSW LICSW |
License Number: | 481 |
Business Practice Address: | 320 3rd St Nw Faribault, MN - 550210718 |
Business Phone Number: | 5073326242 |
Business Fax Number: | 5073326247 |
Mailing Address: | Po Box 718, 320 3rd St Nw FARIBAULT |
State: | MN |
Postal Code: | 550210718 |
Phone Number: | 5073326242 |
Fax Number: | 5073326247 |
NPI Enumeration Date: | 06/10/2008 |
NPI Last Update Date: | 06/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |