Individual
ELENA MEGAN DIETZ-MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
4344 NICOLLET AVE, MINNEAPOLIS, MN 55409-2033
(612) 568-7249
Mailing address
3817 LONGFELLOW AVE, MINNEAPOLIS, MN 55407-2946
(612) 568-7249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31152
MN
Other
Enumeration date
03/01/2022
Last updated
02/14/2025
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