Individual
PENNIE DEANN RUBBELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
13782 BLUESTEM CT STE 100, BAXTER, MN 56425-8768
(218) 833-9107
Mailing address
13782 BLUESTEM CT STE 100, BAXTER, MN 56425-8768
(218) 833-9107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
27062
MN
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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