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1841732211
AMANDA WANNARKA
COON RAPIDS, MN
NPI
1841732211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 23382)
Enumeration Date
2016-11-16
Last Update Date
2022-11-03
Business Address
AMANDA WANNARKA LICSW
199 COON RAPIDS BLVD NW STE 208
COON RAPIDS, MN 55433-5860
Phone number: 612-440-1899
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Mailing Address
AMANDA WANNARKA LICSW
2906 129TH AVE NW
COON RAPIDS, MN 55448-2384
Phone number: 612-309-2691
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