Provider Demographics
NPI:1477124196
Name:KALBOW, EMILY JEAN (LGSW,MSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JEAN
Last Name:KALBOW
Suffix:
Gender:F
Credentials:LGSW,MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W 96TH ST APT 3E
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-4338
Mailing Address - Country:US
Mailing Address - Phone:763-516-2711
Mailing Address - Fax:
Practice Address - Street 1:8646 EAGLE CREEK CIR STE 213
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-1574
Practice Address - Country:US
Practice Address - Phone:952-583-1055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-03
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical