Mandy Wannarka, Licsw Inc
Clinical Social Worker · Coon Rapids, MN
At a glance
199 Coon Rapids Blvd Nw Ste 208, Coon Rapids, MN 55433-5860
NPPES record updated Jun 14, 2023. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
199 Coon Rapids Blvd Nw Ste 208Coon Rapids, MN 55433-5860
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinical Social Worker
- Taxonomy code
- 1041C0700X
- Enumeration date
- Nov 18, 2019
- Record updated
- Jun 14, 2023
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Clinical Social Worker
1041C0700X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
199 Coon Rapids Blvd Nw Ste 208Coon Rapids, MN 55433-5860
- Phone
- (612) 440-1899
Mailing address
199 COON RAPIDS BLVD NW STE 208COON RAPIDS, MN 554335860
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