Individual
ELIZABETH LESLIE WITTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J.D., LICSW
Contact information
Practice address
3108 HENNEPIN AVE S, MINNEAPOLIS, MN 55408-2619
(612) 824-0802
(612) 825-1504
Mailing address
3108 HENNEPIN AVE S, MINNEAPOLIS, MN 55408-2619
(612) 824-0802
(612) 825-1504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18591
MN
Other
Enumeration date
05/10/2010
Last updated
10/21/2010
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