Organization
JACKSON SCMITZ, PA
Active
Other names
Ken Schmitz, LICSW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN W SCHMITZ LICSW (TREASURER)
(651) 659-0294
Entity
Organization
Contact information
Practice address
2469 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1534
(651) 659-0294
Mailing address
2469 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1534
(651) 659-0294
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00099
MN
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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