Individual
KELLIE ADRIENNE EBBERUP-KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
930 MORGAN DRIVE, WHITEMAN AFB, MO 65305-1180
(901) 336-2626
Mailing address
930 MORGAN DRIVE, WHITEMAN AFB, MO 65305-1180
(901) 336-2626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019038935
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490077188
—
MO
Enumeration date
11/01/2019
Last updated
12/06/2019
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