| Amanda Vaske Llc | |
|
1310 Highway 96 E White Bear Lake MN 55110-3624 | |
| (651) 329-1266 | |
| Not Available |
| Full Name | Amanda Vaske Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1310 Highway 96 E, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Amanda Vaske (OWNER) |
| Authorized Official Contact | 6513291266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Vaske Llc 1310 Highway 96 E Ste 211 White Bear Lake MN 55110-3619 Ph: (651) 329-1266 | Amanda Vaske Llc 1310 Highway 96 E White Bear Lake MN 55110-3624 Ph: (651) 329-1266 |
| NPI Number | 1346759180 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 10/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346759180 | NPI | - | NPPES |
| 1063696300 | Medicaid | MN |
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