Individual
ROBERT D WARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LMFT
Contact information
Practice address
101 JEFFERSON BLVD, BIG LAKE, MN 55309-9572
(763) 367-6080
(763) 263-7897
Mailing address
101 JEFFERSON BLVD, PO BOX 3, BIG LAKE, MN 55309-9572
(763) 367-6080
(763) 263-7897
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2097
MN
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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