MARISSA YAEKO TAKAZAWA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018549

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

YAEKO

Last Name

TAKAZAWA

Business Name

MARISSA YAEKO TAKAZAWA

Original Issue Date

05/25/2016

Effective Date

11/29/2023

Expiration Date

11/30/2025

City

PLYMOUTH

State

Zip

55447

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026