Individual
MS. MARY ELIZABETH WILKENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1875 NORTHWESTERN AVE S, STILLWATER, MN 55082-7534
(651) 439-4840
(651) 439-4894
Mailing address
1875 NORTHWESTERN AVE S, STILLWATER, MN 55082-7534
(651) 439-4840
(651) 439-4894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18657
MN
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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