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Individual

ELIZABETH E KUETTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MC, LPC, CPRP

Contact information

Practice address
5510 W BROADWAY AVE STE 112A, CRYSTAL, MN 55428-3577
(612) 752-8320
(612) 752-8301
Mailing address
5510 W BROADWAY AVE STE 112A, CRYSTAL, MN 55428-3577
(612) 752-8320
(612) 752-8301

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00176
MN

Other

Enumeration date
01/30/2008
Last updated
01/30/2008
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