Individual
MALLORY KURKOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
7580 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 898-1124
Mailing address
18247 KERRVILLE TRL, LAKEVILLE, MN 55044-7296
(507) 351-4501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MN
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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