Individual
MRS. ATHENA MARIE DIESCH-CHHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(507) 676-1633
Mailing address
22426 CANTREL WAY, FARMINGTON, MN 55024-4011
(507) 676-1633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20955
MN
Other
Enumeration date
06/12/2018
Last updated
09/30/2021
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