Individual
JONI REDEPENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1919 UNIVERSITY AVE W, SUITE 200, SAINT PAUL, MN 55104-3453
(651) 266-7880
Mailing address
1919 UNIVERSITY AVE W STE 200, SAINT PAUL, MN 55104-3435
(651) 266-7880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17081
MN
Other
Enumeration date
01/30/2010
Last updated
06/24/2010
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