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Individual

JENNIFER PETZOLDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5860 BAKER RD, MINNETONKA, MN 55345-5903
(612) 759-2697
Mailing address
5710 BAKER RD, MINNETONKA, MN 55345-5901
(612) 759-2697

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01456
MN

Other

Enumeration date
02/28/2017
Last updated
02/28/2017
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