Organization Name: | PROFESSIONAL SOCIAL WORK SERVICES LLC |
NPI Number: | 1457502577 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALYSON CHRISTINE ZUREK (OWNER/PRESIDENT) |
Mailing Address: | 711 6th Ave Ne Suite 1 Isanti |
State: | MN US |
Postal Code: | 550403207 |
Phone Number: | 7634445567 |
Fax Number: | 7634444991 |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 04/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 14705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |