Individual
MELISSA IRISARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
576 BIELENBERG DR, #250, WOODBURY, MN 55125-1734
(651) 645-5323
Mailing address
576 BIELENBERG DR, #250, WOODBURY, MN 55125-1734
(651) 645-5323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23547
MN
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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