Most Relevant Information
Provider Data
| NPI Number: | 1922001973 |
| Provider Name: | TERESA MARY ANDERSON-KRULL MSW LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2581 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
216 E MAIN ST
ALBERT LEA
MN
560072919
Practice Location Phone/Fax
| Phone: | 5073770107 |
| Fax: | 5073771194 |
Provider Mailing Location
216 E MAIN ST
ALBERT LEA
MN
560072919
Provider Mailing Phone/Fax
| Phone: | 5073770107 |
| Fax: | 5073771194 |