Individual
MS. JINA VINCENT BRADFORD MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 TANNER WILLIAMS RD, AVIATION TRAINING CENTER MOBILE, MOBILE, AL 36608-8322
(251) 441-6725
(251) 441-6415
Mailing address
6348 LYNWOOD BLVD, MOUND, MN 55364-1404
(617) 901-6292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27599
MN
247200000X
Other Technician
—
—
Other
Enumeration date
01/11/2006
Last updated
11/16/2021
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