Wolfgram, Stacey Lynn
Wolfgram, Stacey Lynn is an sole proprietor health care provider with primary practice located at 6900 78Th Ave N , Brooklyn Park MN 55445-2719. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wolfgram, Stacey Lynn can be contacted via phone (763) 560-4412.Contact Information
Primary practice address
6900 78Th Ave N
Brooklyn Park MN 55445-2719
Phone: (763) 560-4412
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1337 | Minnesota |
Profile Details
NPI number | 1346307873 |
---|---|
LBN Legal business name | Wolfgram, Stacey Lynn |
Credentials | MA, LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 3rd, 2007 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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