Individual
MS. TERI VIRGINIA KRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2345 S ALMA SCHOOL RD, 110, MESA, AZ 85210-4011
(480) 917-7792
Mailing address
718 W MONTE CIR, MESA, AZ 85210-7554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 0130
AZ
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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