Individual
MRS. MELINA VICTORIA SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3100 W LAKE ST STE 210, MINNEAPOLIS, MN 55416-4597
(612) 925-6033
(612) 925-8496
Mailing address
3100 W LAKE ST STE 210, MINNEAPOLIS, MN 55416-4597
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13650
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690233200
—
MN
Enumeration date
09/28/2006
Last updated
07/21/2022
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