Individual
MS. ALEIYA MARIELLE PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4208 PARK GLEN RD, MINNEAPOLIS, MN 55416-4758
(612) 825-4792
(626) 727-7535
Mailing address
3700 COLFAX AVE S APT 2, MINNEAPOLIS, MN 55409-1024
(952) 220-4076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31676
MN
Other
Enumeration date
12/13/2025
Last updated
12/13/2025
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