Individual
DEBRA KAY KRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2127 COUNTY ROAD D E STE A100, MAPLEWOOD, MN 55109-5350
(651) 592-1592
(651) 429-2988
Mailing address
2127 COUNTY ROAD D E STE A100, MAPLEWOOD, MN 55109-5350
(651) 592-1592
(651) 429-2988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11225
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193P9KR
BLUE CROSS OF MINNESOTA
MN
05
—
315479300
—
MN
Enumeration date
02/19/2007
Last updated
04/02/2018
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