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Individual

ELISE M SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.I.C.S.W.

Contact information

Practice address
6101 ZENITH AVE S, EDINA, MN 55410-2839
(612) 718-3828
Mailing address
6101 ZENITH AVE S, EDINA, MN 55410-2839
(612) 718-3828

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17215
MN

Other

Enumeration date
05/02/2007
Last updated
03/12/2025
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