NPI 1033742119

Katherine Carol Logeais Hissam, LICSW

Practitioner Clinical Social Worker Saint Cloud, MN

Practice location

Address: 4801 Veterans Dr, Saint Cloud, MN 56303-2015
Phone: (320) 252-1670
Fax: (320) 255-6328

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 22416 (MN)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1033742119
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2020
Record last updated: 18 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.