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Justin David Less, LICSW

Social Worker, Clinical in Burnsville, MN. Individual provider (NPI-1).

NPI number1508033739
StatusActive
Last updated in NPPESFeb 8, 2021

Details

NPI
1508033739
Entity type
Individual (NPI-1)
Name
Mr. Justin David Less
Credential
LICSW
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2008
Certification date
Jan 21, 2021
Last updated
Feb 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical17750MNYes

Practice location

201 W Burnsville Pkwy
Burnsville, MN 55337-2527

Phone 651-200-8788

Mailing address

13800 Nicollet Blvd Unit 1941
Burnsville, MN 55337-6143

Phone 651-200-8788

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