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Individual

RICKI GENE KRUEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPC, LADC

Contact information

Practice address
3675 IHDUHAPI RD, LORETTO, MN 55357-2120
(763) 479-4506
(763) 479-4372
Mailing address
3675 IHDUHAPI RD, LORETTO, MN 55357-2120
(763) 479-4506
(763) 479-4372

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01202
MN

Other

Enumeration date
06/07/2012
Last updated
06/07/2012
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