Individual
MS. CAMILLE MARY KULKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,L.P.
Contact information
Practice address
333 MAIN ST N STE 205, STILLWATER, MN 55082-5054
(651) 430-2212
Mailing address
333 MAIN ST N STE 205, STILLWATER, MN 55082-5054
(651) 430-2212
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3732
MN
Other
Enumeration date
08/20/2006
Last updated
07/09/2007
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