Mandy Wannarka, Licsw INC
NPI #1861038515 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1861038515
- Entity Type
- Organization
- Organization Name
- Mandy Wannarka, Licsw INC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 18, 2019
- Last Updated
- Jun 14, 2023
Practice Location
- Address
- 199 COON RAPIDS BLVD NW STE 208
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-5860
- Phone
- (612) 440-1899
Authorized Official
- Name
- AMANDA WANNARKA, LICSW, PMH-C
- Title
- OWNER, PSYCHOTHERAPIST
- Phone
- (612) 309-2691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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