Individual
MRS. ERICA JW KANEWISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
2115 COUNTY ROAD D E # B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591
Mailing address
2115 COUNTY ROAD D E # B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1666
MN
Other
Enumeration date
02/02/2009
Last updated
07/10/2009
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