Stacia Wakefield

NPI #1699280321 in Buffalo, Minnesota

Provider Information

NPI Number: 1699280321
Entity Type: Individual
Name: Stacia Wakefield
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 4, 2017
Last Updated: Dec 4, 2017

Practice Location

Address: 102 MARTY DR
City: Buffalo
State: Minnesota
ZIP Code: 55313-9305
Phone: (763) 682-5420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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