Individual
JASON GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
6936 PINE ARBOR DR S STE 200, COTTAGE GROVE, MN 55016-4672
(651) 461-2903
Mailing address
6936 PINE ARBOR DR S STE 200, COTTAGE GROVE, MN 55016-4672
(612) 247-0000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23574
MN
Other
Enumeration date
05/03/2017
Last updated
01/31/2022
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