Individual
MARIE MARIE ELAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2069 WATSON AVE APT 32, SAINT PAUL, MN 55116-1116
(952) 393-9660
Mailing address
2069 WATSON AVE APT 32, SAINT PAUL, MN 55116-1116
(952) 393-9660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
24782
MN
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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