Individual
ELIZABETH RYAN FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
576 BIELENBERG DR STE 250, WOODBURY, MN 55125-1739
(866) 821-0281
Mailing address
6348 BELLEVUE LN, EDEN PRAIRIE, MN 55344-5200
(952) 239-1447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28491
MN
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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