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Individual

MS. DEBRA ELIZABETH STUMVOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L. P.

Contact information

Practice address
2025 STEARNS WAY, SUITE 111, SAINT CLOUD, MN 56303-4491
(320) 253-3540
(320) 253-1475
Mailing address
32351 91ST AVE, SAINT JOSEPH, MN 56374-9673
(320) 363-4902

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5170
MN
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
103TF0000X
Family Psychologist

Other

Enumeration date
11/20/2009
Last updated
11/20/2009
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