Individual
AMBER MARIE VASATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
305235
MN
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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