Individual
MELISSA WOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6000 EARLE BROWN DR, BROOKLYN CENTER, MN 55430-2506
(952) 993-4900
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20945
MN
1041C0700X
Clinical Social Worker
20945
MN
Other
Enumeration date
04/09/2024
Last updated
05/10/2024
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