Individual
MARY BETH WIENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
821 RAYMOND AVE, SUITE 200, SAINT PAUL, MN 55114-1503
(651) 645-8300
(651) 645-4603
Mailing address
821 RAYMOND AVE, SUITE 200, SAINT PAUL, MN 55114-1503
(651) 645-8300
(651) 645-4603
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 3028
MN
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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