Individual
DANIELLE MARIE JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3000
Mailing address
9700 68TH CT N, STILLWATER, MN 55082-9359
(651) 210-4121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19557
MN
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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