Individual
KARI LEAH VACINEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.I.C.S.W
Contact information
Practice address
600 W 78TH ST STE 10, CHANHASSEN, MN 55317-2601
(952) 405-9369
Mailing address
680 DRESDEN DR, CHASKA, MN 55318-1478
(952) 405-9369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19931
MN
Other
Enumeration date
07/25/2013
Last updated
06/05/2020
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