Individual
CRYSTAL MARIE DUBBELDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISCW
Contact information
Practice address
1400 MADISON AVE STE 352, MANKATO, MN 56001-4458
(507) 625-1811
Mailing address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18781
MN
Other
Enumeration date
05/07/2010
Last updated
07/22/2020
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