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NPI Code Detail

MEDICARE: ALYSSA FOLEY LICSW

MEDICARE: ALYSSA FOLEY LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerMN

General Provider Information

NPI Number : 1700495470
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA FOLEY LICSW
Provider Business Mailing Address
First Line : 9400 ZANE AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1814
Country : US
Telephone Number : 763-762-8800
Fax Number :
Provider Business Practice Location Address
First Line : 2001 BEAM AVE
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-1401
Country : US
Telephone Number : 952-737-4500
Fax Number : 651-209-0514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2020
Last Update Date : 12/01/2020

Similar Medicare Providers

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Practice Location Address:
2001 BEAM AVE
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1174684302 — MR. JEFFREY ROBERT MCCONNELL MSW, LICSW
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Practice Fax:
1053726117 — MR. BRYAN JARRED COLE LMFT
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1679004964 — MELISSA SEIDEL LGSW
Practice Location Address:
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1265084735 — DENISE BLOCZYNSKI RODILES MA, LMFT
Practice Location Address:
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Directions to “ ALYSSA FOLEY LICSW” Practice Location

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