Individual
DARCY WENNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
100 WARREN ST STE 304, MANKATO, MN 56001-3762
(507) 420-5671
Mailing address
2713 ITASCA DR, MANKATO, MN 56001-5556
(507) 420-5671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19467
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410900656
TAX ID
MN
Enumeration date
09/26/2016
Last updated
01/27/2022
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