Individual
MS. MARY K. ZWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LADC, LMFT
Contact information
Practice address
2480 WHITE BEAR AVE N STE 101, MAPLEWOOD, MN 55109-5165
(651) 770-1311
(651) 770-1879
Mailing address
2399 ARIEL ST N, MAPLEWOOD, MN 55109-2203
(651) 770-1311
(651) 770-1879
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT1368
MN
Other
Enumeration date
01/11/2007
Last updated
06/03/2015
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