Individual
MARISSA KOVENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
10198 46TH PL NE, SAINT MICHAEL, MN 55376-3083
(763) 497-0552
(763) 497-0552
Mailing address
703 THIELEN DR, SAINT MICHAEL, MN 55376-9613
(763) 515-4563
(763) 497-0552
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29459
MN
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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