Individual
DACEY ELIZABETH KASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(612) 310-1388
Mailing address
9975 BUTTERNUT ST NW APT 201, COON RAPIDS, MN 55448-5238
(651) 270-6971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28305
MN
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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