Most Relevant Information
Provider Data
| NPI Number: | 1003560327 |
| Provider Name: | ELISSA J ALLEN LGSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 29021 |
Most Important Dates
| Enumeration Date: | 02/06/2022 |
| Last Updated: | 02/10/2023 |
Provider Practice Location
2925 CHICAGO AVE
MINNEAPOLIS
MN
554071321
Practice Location Phone/Fax
| Phone: | 8666030016 |
| Fax: |
Provider Mailing Location
2925 CHICAGO AVE
MINNEAPOLIS
MN
554071321
Provider Mailing Phone/Fax
| Phone: | 6122629000 |
| Fax: |