Individual
KAYLIE VINCENT RUBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343-4157
(952) 999-6097
Mailing address
12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343-4157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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