Individual
LARISSA BENIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-6704
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-6704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22772
MN
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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