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Individual

MAITA YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
11468 MARKETPLACE DR N STE 600-1267, CHAMPLIN, MN 55316-3872
(763) 267-2520
Mailing address
9994 190TH AVE NW, ELK RIVER, MN 55330-2459
(763) 267-2520

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23020
MN

Other

Enumeration date
11/07/2022
Last updated
05/14/2024
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