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Individual

NICOLE WICKLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMFT

Contact information

Practice address
4510 77TH ST W, EDINA, MN 55435-5505
(651) 434-9233
Mailing address
911 W 45TH ST, MINNEAPOLIS, MN 55419-4726
(651) 434-9233

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3221
MN

Other

Enumeration date
02/25/2016
Last updated
05/07/2024
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