Individual
KRISTINA JO BRUMMUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1961 PREMIER DR STE 220, MANKATO, MN 56001-6991
(507) 479-7267
Mailing address
1961 PREMIER DR STE 220, MANKATO, MN 56001-6991
(507) 479-7267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21286
MN
Other
Enumeration date
02/06/2023
Last updated
04/11/2023
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