Individual
MARTHA JOHANNA RIAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2525 CHICAGO AVE S, MINNEAPOLIS, MN 55404
(612) 813-5805
Mailing address
7160 CAHILL RD, APT 227, EDINA, MN 55439-2046
(860) 212-7974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19301
MN
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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