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Individual

CHRISTOPHER RAY WLASCHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1801 AMERICAN BLVD E STE 1, BLOOMINGTON, MN 55425-1230
(952) 767-2279
(612) 728-5301
Mailing address
4612 33RD AVE S, MINNEAPOLIS, MN 55406-3829
(612) 709-7375
(612) 728-5301

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21148
MN

Other

Enumeration date
01/29/2015
Last updated
01/29/2015
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