Individual
MR. GARY EDWARD STUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA/LP
Contact information
Practice address
701 DECATUR AVE N, SUITE 109, GOLDEN VALLEY, MN 55427-4367
(763) 746-2400
(763) 746-2401
Mailing address
701 DECATUR AVE N, SUITE 109, GOLDEN VALLEY, MN 55427-4367
(763) 746-2400
(763) 746-2401
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1575
MN
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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