Organization
JACK LOFGREN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK LOFGREN LICSW (OWNER)
(320) 309-4694
Entity
Organization
Contact information
Practice address
4346 5TH AVE S, MINNEAPOLIS, MN 55409-2122
(320) 309-4694
Mailing address
4346 5TH AVE S, MINNEAPOLIS, MN 55409-2122
(320) 309-4694
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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