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Individual

WENDY DRIFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
5219 SAINT JOHN DR, ORR, MN 55771-8232
(218) 757-3650
Mailing address
5219 SAINT JOHN DR, ORR, MN 55771-8232
(218) 757-3650

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
24264
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24264
STATE LICENSE
MN
Enumeration date
12/22/2016
Last updated
12/22/2016
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