Individual
WANDA VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7831 GLENROY RD, BLOOMINGTON, MN 55439-3132
(651) 447-3755
Mailing address
7831 GLENROY RD, BLOOMINGTON, MN 55439
(651) 447-3755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306588
MN
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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