Individual
ELIZABETH R FLAVELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
347 N SMITH AVE, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES STPL, ST PAUL, MN 55102
(651) 220-6720
(651) 220-6707
Mailing address
2910 CENTRE POINTE DR, 35-121A, ROSEVILLE, MN 55113
(651) 855-2327
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02659
MN
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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