Individual
THOMAS JOHN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-5944
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15586
MN
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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