Individual
JOLENE MARIE METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7039 20TH AVE, CENTERVILLE, MN 55038-9737
(651) 288-0332
(651) 288-0493
Mailing address
2018 DALE ST N, ROSEVILLE, MN 55113-6476
(651) 278-2251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17628
MN
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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