Individual
JOEY SUE GLASSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(866) 603-0016
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11603
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11603
LICSW
MN
05
—
11603
—
MN
Enumeration date
07/31/2018
Last updated
08/27/2020
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