Individual
MARISSA GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
Mailing address
2231 4TH AVE, ANOKA, MN 55303-2262
(847) 873-7959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27949
MN
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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