Individual
JON MARK FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
3490 LEXINGTON AVE N, SUITE 205, SHOREVIEW, MN 55126-8074
(651) 486-3808
(651) 486-3858
Mailing address
3490 LEXINGTON AVE N, SUITE 205, SHOREVIEW, MN 55126-8074
(651) 486-3808
(651) 486-3858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16234
MN
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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