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1225260987
DONNA JANE WACKER
SAINT CLOUD, MN
NPI
1225260987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 2261)
Enumeration Date
2009-08-13
Last Update Date
2009-08-13
Business Address
-- DONNA JANE WACKER LICSW
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
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Mailing Address
-- DONNA JANE WACKER LICSW
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
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