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Individual

ALISSA EISCHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
445 BROADWAY AVE, ST PAUL PARK, MN 55071-1554
(952) 500-3830
(866) 450-3814
Mailing address
1621 UPPER AFTON RD APT A, SAINT PAUL, MN 55106-6857
(312) 498-3086

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24118
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24118
24118
MN
Enumeration date
03/19/2015
Last updated
05/22/2026
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