Individual
AMY WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 LEXINGTON AVE S, NEW PRAGUE, MN 56071-2423
(952) 758-2999
Mailing address
101 LEXINGTON AVE S, NEW PRAGUE, MN 56071-2423
(952) 758-2999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3821
MN
Other
Enumeration date
12/04/2006
Last updated
07/09/2007
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