Individual
MR. WAYNE EDWIN ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSLP
Contact information
Practice address
432 1ST AVE SE, GLENWOOD, MN 56334-1718
(320) 815-0970
Mailing address
432 1ST AVE SE, GLENWOOD, MN 56334-1718
(320) 815-0970
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP1321
MN
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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