Individual
JAN DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
96 WHEELOCK PKWY E, SAINT PAUL, MN 55117-3939
(651) 487-2728
(651) 487-1512
Mailing address
96 WHEELOCK PKWY E, SAINT PAUL, MN 55117-3939
(651) 487-2728
(651) 487-1512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5836
MN
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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