Melissa Pascoe, LGSW
Social Worker, Clinical in White Bear Lake, MN. Individual provider (NPI-1).
NPI number1417528126
StatusActive
Last updated in NPPESJul 3, 2021
Details
- NPI
- 1417528126
- Entity type
- Individual (NPI-1)
- Name
- Melissa Pascoe
- Credential
- LGSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2021
- Certification date
- Jul 3, 2021
- Last updated
- Jul 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 29313 | MN | Yes |
Practice location
4525 White Bear Pkwy Ste 119White Bear Lake, MN 55110-7666
Phone 612-467-9212
Mailing address
1681 Dayton Ave Apt 1Saint Paul, MN 55104-6189
Phone 612-404-8485
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All 23 Clinical Social Worker providers in White Bear Lake · All 765 providers in White Bear Lake
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