SearchMinnesota101YA0400X

Roxanne Kibben, LADC

NPI 1174095483 · on the registry since 2018 · sole proprietor

Practice

Address
1695 Edgemont St
Maplewood, MN 55117
Phone
(443) 822-6747

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-12-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota