Individual
KIMBERLY PUFAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1146 LAKEWOOD CIR, WACONIA, MN 55387-3001
(952) 239-7632
Mailing address
1146 LAKEWOOD CIR, WACONIA, MN 55387-3001
(952) 239-7632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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