Mary Kay Niessen, LICSW

NPI #1356404958 in Sartell, Minnesota

Provider Information

NPI Number: 1356404958
Entity Type: Individual
Name: Mary Kay Niessen, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Dec 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 211 2ND AVE N
City: Sartell
State: Minnesota
ZIP Code: 56377-1728
Phone: (320) 253-8940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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