Individual
JACQUELINE L SUFKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
20814
MN
1041C0700X
Clinical Social Worker
Primary
20814
MN
1041S0200X
School Social Worker
370745
MN
Other
Enumeration date
12/09/2011
Last updated
12/12/2025
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