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1467506816
SUSAN BERTHA KULLMAN
PRESCOTT, AZ
NPI
1467506816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LCSW2411)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
-- SUSAN BERTHA KULLMAN LCSW
915 E GURLEY ST STE 105
PRESCOTT, AZ 86301-3244
Phone number: 928-445-0231
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Mailing Address
-- SUSAN BERTHA KULLMAN LCSW
536 S CORTEZ ST STE 1C
PRESCOTT, AZ 86303-4354
Phone number: 928-445-0231
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