Individual
CLAIRE L KUENNEN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7000
Mailing address
2595 COHANSEY ST, ROSEVILLE, MN 55113-3521
(651) 484-6258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06571
MN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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