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Search › Minnesota › 1041C0700X

Holly Clark, LICSW

NPI 1649096702 · on the registry since 2024 · sole proprietor

Practice

Address
4826 Chicago Ave Ste 105
Minneapolis, MN 55417
Phone
(952) 201-5351
Organisation at this address
Richelle Moen, Phd Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Additional practice sites

  • 333 Washington Ave N Ste 406, Minneapolis, MN

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota