Individual provider · NPI-1

Lindsay Jean Berhanu, LSW

Case Manager/Care Coordinator · Minneapolis, MN

NPI number1720580830
StatusActive
Last updated in NPPESMar 5, 2018

Details

NPI
1720580830
Entity type
Individual (NPI-1)
Name
Lindsay Jean Berhanu
Credential
LSW
Sex
Female
Sole proprietor
No
Enumeration date
Mar 5, 2018
Last updated
Mar 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator26774MNYes

Practice location

2445 Park Ave
Minneapolis, MN 55404-3714

Phone 612-343-3265 · Fax 612-343-3267

Mailing address

2445 Park Ave
Minneapolis, MN 55404-3714

Phone 612-343-3265 · Fax 612-343-3267

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