Individual
LIA MICHELLE KOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
7203 PERRY CT E, MINNEAPOLIS, MN 55429-1202
(612) 314-9464
Mailing address
PO BOX 16031, MINNEAPOLIS, MN 55416-0031
(612) 314-9464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22093
MN
Other
Enumeration date
10/20/2022
Last updated
05/20/2023
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