Individual
ALISSA MENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
200 4TH AVE W, SHAKOPEE, MN 55379-1220
(952) 496-8565
Mailing address
200 4TH AVE W, SHAKOPEE, MN 55379-1220
(952) 496-8565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24905
MN
Other
Enumeration date
04/30/2018
Last updated
01/09/2025
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