Individual
MRS. MARILYN JOY FISKE MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS COUNSELING
Contact information
Practice address
900 LONG LAKE RD, SUITE 320 ARDEN WOODS PSYCHOLOGICAL SERVICES, NEW BRIGHTON, MN 55112-6428
(651) 482-9361
(651) 482-9888
Mailing address
900 LONG LAKE ROAD, SUITE 320 ARDENWOODS PSYCHOLOGICAL SERVICES, NEW BRIGHTON, MN 55112
(651) 482-9361
(651) 482-9888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6615
MN
106H00000X
Marriage & Family Therapist
397
MN
Other
Enumeration date
09/01/2006
Last updated
04/01/2014
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