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Individual

DAWN MARIE ULRICH-SPITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LP

Contact information

Practice address
209 S BROAD ST, MANKATO, MN 56001
(507) 345-4448
(507) 625-1000
Mailing address
201 N BROAD ST STE 308, MANKATO, MN 56001-3569
(507) 345-4448
(507) 625-6829

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3697
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120931
HEALTHPARTNERS
MN
01
214467
COMPSYCH
MN
01
55AOSUL
BLUE CROSS BLUE SHIELD
MN
05
6020224400
MN
01
69695MA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/19/2006
Last updated
05/21/2018
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