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Individual

MARYAN I HUSSEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LGSW, LADC

Contact information

Practice address
5201 EDEN AVE STE 329, EDINA, MN 55436-2316
(404) 992-2702
(612) 503-9749
Mailing address
5201 EDEN AVE STE 329, EDINA, MN 55436-2316
(404) 992-2702
(612) 503-9749

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
307591
MN
1041C0700X
Clinical Social Worker
Primary
33992
MN
1041S0200X
School Social Worker

Other

Enumeration date
01/17/2022
Last updated
02/07/2026
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