Kellie Adrienne Ebberup-Krug, LCSW
NPI #1275177255 in Whiteman Afb, Missouri
Provider Information
- NPI Number
- 1275177255
- Entity Type
- Individual
- Name
- Kellie Adrienne Ebberup-Krug, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Nov 1, 2019
- Last Updated
- Dec 6, 2019
Practice Location
- Address
- 930 MORGAN DRIVE
- City
- Whiteman Afb
- State
- Missouri
- ZIP Code
- 65305-1180
- Phone
- (901) 336-2626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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