Staci Lynn Miskimen, MSW
Social Worker, Clinical in Minneapolis, MN. Individual provider (NPI-1).
NPI number1003917543
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003917543
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Staci Lynn Miskimen
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 17801 | MN | Yes |
Practice location
1 Veterans DrRouting: 116a
Minneapolis, MN 55417-2309
Phone 612-467-4022 · Fax 612-725-2139
Mailing address
1 Veterans DrRouting: 116a
Minneapolis, MN 55417-2309
Phone 612-467-4022 · Fax 612-725-2139
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