Samantha Nichole Mogen, LICSW

NPI #1942990379 in Andover, Minnesota

Provider Information

NPI Number: 1942990379
Entity Type: Individual
Name: Samantha Nichole Mogen, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: May 9, 2023
Last Updated: Apr 11, 2024

Practice Location

Address: 15245 BLUEBIRD ST NW
City: Andover
State: Minnesota
ZIP Code: 55304-3538
Phone: (763) 587-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

Additional Practice Locations

530 3rd St NW

Elk River, MN, 55330-1445

(763) 587-4800

2621 Greenhaven Rd

Anoka, MN, 55303-5566

(763) 587-4488

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