Individual
MS. CHRISTIE ANN WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
17800 EXCELSIOR BLVD, MINNETONKA, MN 55345-4246
(612) 910-3108
Mailing address
17800 EXCELSIOR BLVD, MINNETONKA, MN 55345-4246
(612) 910-3108
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1039
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669680609
—
MN
Enumeration date
05/21/2007
Last updated
09/27/2022
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