Individual
MS. DENISE HANNA BISANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
3919 W 44TH, #200, EDINA, MN 55424-1032
(763) 520-4490
(952) 922-1980
Mailing address
3919 W 44TH, #200, EDINA, MN 55424-1032
(763) 520-4490
(952) 922-1980
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
09919
MN
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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