Individual
EMILY WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1052
(952) 993-6200
Mailing address
3351 XYLON AVE S, ST LOUIS PARK, MN 55426-3807
(715) 377-5192
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2991
MN
Other
Enumeration date
01/27/2016
Last updated
03/17/2018
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