Provider Demographics
NPI:1326219106
Name:SLAGHT, KAREN SUE KRUEGER (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SUE KRUEGER
Last Name:SLAGHT
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:KRUEGER
Other - Last Name:SLAGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:2021 E HENNEPIN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2700
Mailing Address - Country:US
Mailing Address - Phone:612-259-7106
Mailing Address - Fax:612-259-1789
Practice Address - Street 1:2021 E HENNEPIN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2700
Practice Address - Country:US
Practice Address - Phone:612-259-7106
Practice Address - Fax:612-259-1789
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN176701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical