Individual
JUSTIN K REWERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
ONE VETERANS DRIVE, MINNEAPOLIS, MN 55417
(612) 467-3459
Mailing address
ONE VETERANS DRIVE, MINNEAPOLIS, MN 55417
(612) 467-3459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8377-123
WI
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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