Individual
MELISSA DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2105 MINNEHAHA AVE, MINNEAPOLIS, MN 55404-3107
(651) 341-0846
Mailing address
2105 MINNEHAHA AVE, MINNEAPOLIS, MN 55404-3107
(651) 341-0846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20395
MN
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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