Individual
MRS. ALISSA MAE ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4474 W CALVARY RD, RICE LAKE, MN 55803-1269
(218) 591-8590
Mailing address
4474 W CALVARY RD, RICE LAKE, MN 55803-1269
(218) 591-8590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31521
MN
Other
Enumeration date
05/21/2024
Last updated
08/07/2024
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