Individual
ELIZABETH JANICE THULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1626
(952) 818-4710
Mailing address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1626
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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