Dimitriy B Zelikman, LICSW
Social Worker, Clinical in Minneapolis, MN. Individual provider (NPI-1).
NPI number1982123105
StatusActive
Last updated in NPPESSep 19, 2017
Details
- NPI
- 1982123105
- Entity type
- Individual (NPI-1)
- Name
- Dimitriy B Zelikman
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2017
- Last updated
- Sep 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 21621 | MN | Yes |
| 1041C0700X | Social Worker, Clinical | 68262 | CA |
Practice location
525 Portland Ave # Mc963Minneapolis, MN 55415-1533
Phone 612-636-9268
Mailing address
525 Portland Ave # Mc963Minneapolis, MN 55415-1533
Phone 612-636-9268
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