Individual
CLAIRE NIESSEN-DERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
6625 LYNDALE AVE S STE 200, RICHFIELD, MN 55423-2586
(320) 309-5910
Mailing address
1324 HARTFORD AVE, SAINT PAUL, MN 55116-1623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24512
MN
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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