Individual
ELISE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 HARMON PL STE 103, MINNEAPOLIS, MN 55403-2045
(651) 319-6210
Mailing address
7116 W 113TH ST, MINNEAPOLIS, MN 55438-2448
(612) 559-2729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
126963
IA
Other
Enumeration date
07/25/2023
Last updated
12/10/2025
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