Individual
MACKAULIE KRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRC
Contact information
Practice address
2495 MAPLEWOOD DR, MAPLEWOOD, MN 55109-1984
(651) 760-3109
(651) 967-9417
Mailing address
2495 MAPLEWOOD DR, MAPLEWOOD, MN 55109-1984
(651) 760-3109
(651) 967-9417
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
00383038
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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