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Individual

FAITH MARIE JASPERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1089 10TH AVE SE, MINNEAPOLIS, MN 55414-1312
(612) 746-8172
(612) 379-5328
Mailing address
1406 JAMES AVE, SAINT PAUL, MN 55105-2552
(651) 699-5930
(612) 379-5328

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2244
MN

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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