Individual
MARY LAKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
26357 FOREST BLVD, #5, WYOMING, MN 55092-8353
(651) 462-6644
Mailing address
26357 FOREST BLVD, #5, WYOMING, MN 55092-8353
(651) 462-6644
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0863
MN
Other
Enumeration date
05/16/2010
Last updated
05/16/2010
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