Individual
KATRINA S CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1101 E 78TH ST, SUITE 318, BLOOMINGTON, MN 55420-1400
(952) 884-7353
(952) 884-9684
Mailing address
1101 E 78TH ST, SUITE 318, BLOOMINGTON, MN 55420-1400
(952) 884-7353
(952) 884-9684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15805
MN
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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