Individual
MS. CLAIRE JEAN ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.L.P.
Contact information
Practice address
801 12TH ST N, VIRGINIA, MN 55792-2227
(218) 741-9460
Mailing address
801 12TH ST N, VIRGINIA, MN 55792-2227
(218) 741-9460
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2576
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150J9UL
BLUE CROSS BLUE SHIELD #
MN
Enumeration date
01/26/2007
Last updated
07/08/2007
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