Richard Alan Wandersee, MSW LICSW
NPI #1083689624 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1083689624
- Entity Type
- Individual
- Name
- Richard Alan Wandersee, MSW LICSW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW LICSW
- Enumeration Date
- Feb 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11475 ROBINSON DR NW
- Address 2
- MAIL STOP 32600A
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-3746
- Phone
- (763) 754-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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