NICOLAI WALLACE

ST LOUIS PARK, MN
NPI1750736641
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2016-04-27
Last Update Date2016-04-27
Business Address
-- NICOLAI WALLACE
5407 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416-2929
Phone number: 612-710-8910
Mailing Address
-- NICOLAI WALLACE
5407 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416-2929
Phone number: