Individual
SAMANTHA WERSAL-CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 668-0254
Mailing address
6917 MORGAN AVE S, RICHFIELD, MN 55423-2115
(612) 668-0254
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21101
MN
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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