Organization
MESM, LLC
Active
Other names
Margot Storti-Marron
Organization subpart
No
Provider details
NPI number
Authorized official
MARGOT STORTI-MARRON LICSW (OWNER, PSYCHOTHERAPIST)
(763) 400-7077
Entity
Organization
Contact information
Practice address
11224 86TH AVE N, MAPLE GROVE, MN 55369-4510
(763) 400-7077
(763) 400-7078
Mailing address
16460 78TH AVE N, MAPLE GROVE, MN 55311
(763) 416-6350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06884
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528159860
NPI
—
Enumeration date
07/19/2017
Last updated
06/11/2019
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