Individual
HEIDI CARSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6902 PAIUTE DR, EDINA, MN 55439-1035
(651) 336-1815
Mailing address
6804 IROQUOIS CIR, EDINA, MN 55439-1014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12618
MN
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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