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Individual

KELLY WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
101 DEHLER DR, SARTELL, MN 56377-4407
(320) 253-3512
(320) 253-1037
Mailing address
PO BOX 667, BRAINERD, MN 56401-0667
(218) 828-2027
(218) 829-1473

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3421
MN

Other

Enumeration date
10/29/2018
Last updated
05/15/2019
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