Individual
WADDIE ALICIA KOLENKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1089 PORTLAND AVE, SAINT PAUL, MN 55104-7011
(651) 227-4184
(651) 224-5136
Mailing address
1089 PORTLAND AVE, SAINT PAUL, MN 55104-7011
(651) 227-4184
(651) 224-5136
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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