Individual
JULIE MAE WYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
40 MAPLE AVE N, ANNANDALE, MN 55302-9301
(320) 281-6800
(320) 281-6878
Mailing address
40 MAPLE AVE N, ANNANDALE, MN 55302-9301
(320) 281-6800
(320) 281-6878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2017038753
MO
1041C0700X
Clinical Social Worker
Primary
22712
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962903203
—
MN
Enumeration date
02/22/2018
Last updated
02/17/2026
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