Individual
AZIZA HALLAL BISANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
730 E 38TH ST, MINNEAPOLIS, MN 55407-5217
(612) 598-5279
Mailing address
730 E 38TH ST, MINNEAPOLIS, MN 55407-5217
(612) 598-5279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23797
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
MN
Enumeration date
08/24/2016
Last updated
05/21/2022
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