Individual
MRS. LAURA MARIE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
18266 JAMAICA PATH, LAKEVILLE, MN 55044-9616
(507) 213-6844
Mailing address
18266 JAMAICA PATH, LAKEVILLE, MN 55044-9616
(507) 213-6844
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
429233
MN
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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