Individual
H JEANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2900 FREMONT AVE N, MINNEAPOLIS, MN 55411-1313
(612) 287-9913
(612) 287-9914
Mailing address
2900 FREMONT AVE. N, MPLS, MN 55411
(612) 287-9913
(612) 287-9914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4399
MN
Other
Enumeration date
05/02/2007
Last updated
05/31/2011
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