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Individual

MS. JEAN ANN DRISCOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
715 N 40TH ST APT 105K, GRAND FORKS, ND 58203
(701) 317-6487
Mailing address
715 N 40TH ST APT 105K, GRAND FORKS, ND 58203-8513
(701) 317-6487
(017) 317-6487

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
23801
MN
1041C0700X
Clinical Social Worker
Primary
4015
ND

Other

Enumeration date
06/19/2007
Last updated
07/31/2023
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