Individual
MS. MAB KATHRYN NULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LP
Contact information
Practice address
3440 BELT LINE BLVD, SUITE 104, ST LOUIS PARK, MN 55416-2652
(952) 927-4402
(952) 927-5845
Mailing address
3440 BELT LINE BLVD, SUITE 104, ST LOUIS PARK, MN 55416-2652
(952) 927-4402
(952) 927-5845
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1447
MN
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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