Individual
MRS. ELIZABETH ASHLEY MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(763) 233-7294
Mailing address
20144 TRUMAN DR, BIG LAKE, MN 55309-4928
(763) 607-7571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27190
MN
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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