Individual
MS. ELIZABETH ANNE MCINERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
882 SW 15TH AVENUE, FOREST LAKE, MN 55025
(651) 464-2194
Mailing address
882 SW 15TH AVENUE, PO BOX 504, FOREST LAKE, MN 55025
(651) 464-2194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13285
MN
Other
Enumeration date
11/07/2006
Last updated
07/09/2007
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