Individual
MARYJO MELANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1960 CLIFF LAKE ROAD, SUITE 129-179, EAGAN, MN 55122
(651) 505-5349
Mailing address
1960 CLIFF LAKE ROAD, SUITE 129-179, EAGAN, MN 55122
(651) 505-5349
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LICSW 17391
MN
Other
Enumeration date
07/13/2009
Last updated
01/18/2023
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