Individual
MARISA ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
15509 BRYANT AVE S, BURNSVILLE, MN 55306-5456
(612) 718-7041
Mailing address
15509 BRYANT AVE S, BURNSVILLE, MN 55306-5456
(612) 718-7041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17407
MN
Other
Enumeration date
07/02/2019
Last updated
08/05/2022
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