Individual
JON STUMBRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1121 E 46TH ST, MINNEAPOLIS, MN 55407-3562
(612) 827-9304
Mailing address
1121 E 46TH ST, MINNEAPOLIS, MN 55407-3562
(612) 827-9304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
792
MN
Other
Enumeration date
09/21/2006
Last updated
09/07/2023
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