Individual
LANA MARIE WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LADC
Contact information
Practice address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416
(612) 925-6033
(612) 925-8496
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-4758
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301996
MN
1041C0700X
Clinical Social Worker
Primary
20855
MN
Other
Enumeration date
11/10/2010
Last updated
08/09/2018
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