Individual
KELLI LYNN TISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3100 KENNARD ST STE 250, MAPLEWOOD, MN 55109-5465
(651) 313-8080
Mailing address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 313-8080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20843
MN
Other
Enumeration date
05/05/2021
Last updated
04/12/2023
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