Individual
MARY KATHLEEN NEZNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2375 UNIVERSITY AVE W, #160, SAINT PAUL, MN 55114-1631
(651) 642-1709
(651) 642-0150
Mailing address
2375 UNIVERSITY AVE W, #160, SAINT PAUL, MN 55114-1631
(651) 642-1709
(651) 642-0150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8512
MN
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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