NPI 1063579936

Katelyn Mariah, MALICSW

Practitioner Clinical Social Worker Brooklyn Park, MN

Practice location

Address: 7600 Boone Ave N, Brooklyn Park, MN 55428-4563
Phone: (763) 515-2452
Fax: (763) 515-2442
Mailing address: 1641 Hague Ave, Saint Paul, MN 55104-6236

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 07301 (MN)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1063579936
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2007
Record last updated: 8 Jul 2007

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.