Individual
LUCY CATHERINE WEISENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(612) 268-5858
Mailing address
5125 COUNTY ROAD 101 STE 300, MINNETONKA, MN 55345-4157
(952) 932-7277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
28699
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28699
—
MN
Enumeration date
06/18/2019
Last updated
10/11/2024
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