Elizabeth Samuel, LICSW
NPI #1164281713 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1164281713
- Entity Type
- Individual
- Name
- Elizabeth Samuel, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Mar 18, 2024
- Last Updated
- Aug 14, 2024
Practice Location
- Address
- 6442 CITY WEST PKWY STE 200
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55344-2809
- Phone
- (763) 318-2788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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