Individual
MELISSA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
(612) 302-4870
Mailing address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
(612) 302-4870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20991
MN
Other
Enumeration date
02/24/2014
Last updated
10/27/2021
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