Individual
ALISSA EISCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1113 E FRANKLIN AVE, MINNEAPOLIS, MN 55404-2974
(612) 872-8086
(612) 872-8547
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
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
12/13/2021
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