Individual
MEGHAN KATHLEEN BORZENSKI CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9220 BASS LAKE RD STE 255, NEW HOPE, MN 55428-3019
(763) 225-4052
Mailing address
7625 METRO BLVD STE 200, EDINA, MN 55439-3079
(529) 945-4092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23652
MN
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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