Individual
AZIZA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., LADC
Contact information
Practice address
800 42ND AVE N, MINNEAPOLIS, MN 55412-1714
(612) 767-6601
(612) 767-6603
Mailing address
800 42ND AVE N, MINNEAPOLIS, MN 55412-1714
(612) 767-6601
(612) 767-6603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302773
MN
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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