Individual
KRISTIN A FUGLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2000 OLD WEST MAIN ST, TOM LUTZ AND ASSOCIATES, RED WING, MN 55066-1987
(507) 884-6264
Mailing address
29369 GARRARD AVE, FRONTENAC, MN 55026-1049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23107
MN
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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