Individual
MRS. MACKENZIE LAURION DIESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LSW, SSW
Contact information
Practice address
6000 MOORE LAKE DR W, FRIDLEY, MN 55432-5601
(763) 502-5609
Mailing address
6000 MOORE LAKE DR W, FRIDLEY, MN 55432-5601
(763) 502-5609
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
25178
MN
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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