Individual
KARLA JEAN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3100 WEST LAKE STREET, SUITE 210, MINNEAPOLIS, MN 55416
(612) 925-6033
(612) 925-8496
Mailing address
3100 WEST LAKE STREET, SUITE 210, MINNEAPOLIS, MN 55416
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16406
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17M99JE
BLUE CROSS BLUE SHIELD
MN
05
—
948122200
—
MN
01
—
HP39695
HEALTH PARTNERS
MN
Enumeration date
05/01/2007
Last updated
04/23/2008
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