Individual
AMY LEE ACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1919 UNIVERSITY AVE W, SUITE 200, SAINT PAUL, MN 55104-3453
(651) 266-7890
Mailing address
1919 UNIVERSITY AVE W, SUITE 200, SAINT PAUL, MN 55104-3453
(612) 840-8816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20647
MN
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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