Individual
MRS. LORI ANN WIEDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
18598 ELK RIVER TRL, FARMINGTON, MN 55024-8640
(651) 333-0653
Mailing address
20600 INDIA AVE, LAKEVILLE, MN 55044-5903
(952) 297-4608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4674
MN
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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