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Organization
WAUONA TRAINING AND CONSULTING INC
Active
Organization
WAUONA TRAINING AND CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK KENNETH HARRISON M.S., L.I.C.S.W. (OWNER)
(612) 743-7320
Entity
Organization
Contact information
Practice address
6 CRESTVIEW TER, CHASKA, MN 55318-1205
(612) 743-7320
(952) 368-4685
Mailing address
6 CRESTVIEW TER, CHASKA, MN 55318-1205
(612) 743-7320
(952) 368-4625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06016
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097357200
—
MN
Enumeration date
06/01/2007
Last updated
03/08/2013
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