Individual
TIRA MARIE WILEY-WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 W 50TH ST STE 250, MINNEAPOLIS, MN 55410-2057
(651) 219-1364
Mailing address
PO BOX 581731, MINNEAPOLIS, MN 55458-1731
(651) 219-1364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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