Individual
JULIEANN INGBERG BOERTJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT,RN
Contact information
Practice address
510 LONG ST, SUITE 101, MANKATO, MN 56001-4397
(507) 625-4884
(507) 625-6311
Mailing address
53032 220TH ST, WELLS, MN 56097-6115
(507) 340-5604
(507) 553-3961
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1916
MN
163W00000X
Registered Nurse
R91359-5
MN
Other
Enumeration date
03/18/2010
Last updated
06/20/2010
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