Search › Missouri › 1041C0700X
Kellie Ebberup-Krug, LCSW
NPI 1275177255 · on the registry since 2019 · sole proprietor
Practice
- Address
- 930 Morgan Drive
Whiteman Afb, MO 65305 - Phone
- (901) 336-2626
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri