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Individual

JESSICA TYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD, MSW, LICSW

Contact information

Practice address
467 12TH ST NW, BYRON, MN 55920-1391
(507) 316-4674
Mailing address
467 12TH ST NW, BYRON, MN 55920-1391
(507) 316-4674

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17707
MN

Other

Enumeration date
04/23/2009
Last updated
09/16/2022
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