Individual
DR. CAROL LEE KUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
19650 CHIMO WEST ST, WAYZATA, MN 55391-3507
(952) 475-9070
Mailing address
19650 CHIMO WEST ST, WAYZATA, MN 55391-3507
(952) 475-9070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4175
MN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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