Individual
MADISON MASSOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3433 BROADWAY ST NE STE 455, MINNEAPOLIS, MN 55413-2553
(612) 979-2276
Mailing address
3433 BROADWAY ST NE STE 455, MINNEAPOLIS, MN 55413-2553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32344
MN
Other
Enumeration date
08/01/2023
Last updated
10/07/2025
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