Individual
ELLIE REMICK WHITEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 MINNESOTA DR STE 575, EDINA, MN 55435-5213
(612) 223-8898
Mailing address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
02/02/2024
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