Individual
AMANDA WULKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
5316 38TH AVE S, MINNEAPOLIS, MN 55417-2132
(952) 594-2365
Mailing address
5316 38TH AVE S, MINNEAPOLIS, MN 55417-2132
(952) 594-2365
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27122
MN
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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