Individual
MR. JEFFREY ROBERT MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
2001 BEAM AVE, MAPLEWOOD, MN 55109-1401
(952) 737-4500
(651) 209-0514
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15629
MN
Other
Enumeration date
12/12/2006
Last updated
11/16/2020
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