Individual
JENNA TRISCARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1880 N FRONTAGE RD, HASTINGS, MN 55033
(651) 438-1800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24657
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063925584
—
MN
Enumeration date
11/06/2017
Last updated
11/14/2018
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