Individual
MRS. DEBRA KAREN KULLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.M.F.T., M.DIV.
Contact information
Practice address
1567 BLUEBIRD LN, MOUND, MN 55364-1109
(952) 472-5848
Mailing address
1567 BLUEBIRD LN, MOUND, MN 55364-1109
(952) 472-5848
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1886
MN
Other
Enumeration date
08/02/2008
Last updated
08/27/2009
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