Individual
KATIE L WOJTALEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
1400 MADISON AVE STE 352, MANKATO, MN 56001-4458
(507) 387-3195
(507) 387-7785
Mailing address
1400 MADISON AVE STE 352, MANKATO, MN 56001-4458
(507) 375-3045
(507) 375-1134
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4890
MN
103TC0700X
Clinical Psychologist
LP4890
MN
103TC1900X
Counseling Psychologist
LP4890
MN
Other
Enumeration date
12/13/2007
Last updated
09/22/2020
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