Individual
LEANNE MAIRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6046 SARGENT CT N, WHITE BEAR LAKE, MN 55110-1055
(651) 249-1750
Mailing address
PO BOX 270773, VADNAIS HEIGHTS, MN 55127-0773
(651) 249-1750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16359
MN
Other
Enumeration date
08/15/2008
Last updated
02/01/2024
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