DIANE MATHISEN, MSW,LICSW

Social Worker - Clinical

Active Individual
NPI: 1821194085

Practice Address

6860 SHINGLE CREEK PKWY
SUITE 116
Brooklyn Center, MN 55430

Phone: (763) 560-4860

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 13087 (MN)

Frequently Asked Questions

NPI 1821194085 is the National Provider Identifier for DIANE MATHISEN, MSW,LICSW, a Social Worker - Clinical provider located in Brooklyn Center, MN. This NPI was enumerated on September 15, 2006.
DIANE MATHISEN, MSW,LICSW practices at 6860 SHINGLE CREEK PKWY, SUITE 116, Brooklyn Center, MN 55430.

Quick Facts

NPI
1821194085
Type
Individual
Enumerated
Sep 15, 2006
Last Updated
Jul 8, 2007

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