Individual
JEANNE FOLLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
480 8TH ST, RED WING, MN 55066-3410
(651) 388-9360
Mailing address
480 8TH ST, RED WING, MN 55066-3410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11198
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN PROCESS
—
MN
Enumeration date
03/23/2007
Last updated
09/07/2023
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