Taya Vacanti, MSW, LICSW
NPI #1164230074 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1164230074
- Entity Type
- Individual
- Name
- Taya Vacanti, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Dec 23, 2024
- Last Updated
- Jan 2, 2025
Practice Location
- Address
- 5353 WAYZATA BLVD STE 510
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-1340
- Phone
- (952) 254-3557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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