Individual
MRS. MAYA JEAN WOLKOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
970 RAYMOND AVE STE 204, SAINT PAUL, MN 55114-1164
(763) 807-3384
Mailing address
2350 PAGEL RD, MENDOTA HEIGHTS, MN 55120-1637
(763) 807-3384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30267
MN
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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