Individual
MR. JEREMY MORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
3200 LABORE RD STE 104, VADNAIS HEIGHTS, MN 55110-5186
(612) 387-9243
Mailing address
3200 LABORE RD STE 104, VADNAIS HEIGHTS, MN 55110-5186
(612) 387-9243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17776
MN
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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