Individual provider · NPI-1

Marketa Latese Claiborn, MSW, LGSW

Social Worker, Clinical · Eden Prairie, MN

NPI number1821804576
StatusActive
Last updated in NPPESDec 7, 2024

Details

NPI
1821804576
Entity type
Individual (NPI-1)
Name
Marketa Latese Claiborn
Credential
MSW, LGSW
Sex
Female
Sole proprietor
No
Enumeration date
Dec 7, 2024
Certification date
Dec 7, 2024
Last updated
Dec 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801

Phone 952-746-2522 · Fax 952-746-0887

Mailing address

11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801

Phone 952-746-2522 · Fax 952-746-0887

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