Individual
JENNIFER KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5861 CEDAR LAKE RD S, MINNEAPOLIS, MN 55416-1653
(715) 208-0144
Mailing address
5861 CEDAR LAKE RD S, MINNEAPOLIS, MN 55416-1653
(715) 208-0144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15875
MN
Other
Enumeration date
01/11/2016
Last updated
02/08/2016
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