Individual
SUSAN BERTHA KULLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
915 E GURLEY ST, STE 105, PRESCOTT, AZ 86301-3244
(928) 445-0231
Mailing address
536 S CORTEZ ST, STE 1C, PRESCOTT, AZ 86303-4354
(928) 445-0231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW2411
AZ
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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