Individual
JON BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2831 SOUTHLAWN DR, MAPLEWOOD, MN 55109-1146
(651) 777-7722
(651) 748-1284
Mailing address
2831 SOUTHLAWN DR, MAPLEWOOD, MN 55109-1146
(651) 777-7722
(651) 748-1284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1725
MN
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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