Individual
ANNA CHRISTINE MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1089 PORTLAND AVE, SAINT PAUL, MN 55104-7011
(651) 227-4184
(651) 224-5136
Mailing address
1089 PORTLAND AVE, SAINT PAUL, MN 55104-7011
(651) 227-4184
(651) 224-5136
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19988
MN
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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