Individual
JENNIFER NORSTREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
5788 FRANKLIN CT, WYOMING, MN 55092-8104
(612) 710-2310
Mailing address
5788 FRANKLIN CT, WYOMING, MN 55092-8104
(612) 710-2310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13414
MN
1041S0200X
School Social Worker
370408
MN
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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