Individual
MRS. CHANTAL MARIA JACOBA WOHNOUTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FULLER ST S, SHAKOPEE, MN 55379-1348
(855) 454-2963
Mailing address
2185 ELSBERRY CURV, SHAKOPEE, MN 55379-4478
(612) 356-3315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28667
MN
Other
Enumeration date
07/19/2023
Last updated
08/26/2024
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