Individual
JOANNE SUSAN KURZMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
7039 20TH AVE, CENTERVILLE, MN 55038-9737
(651) 288-0332
(651) 288-0493
Mailing address
7039 20TH AVE, CENTERVILLE, MN 55038-9737
(651) 288-0332
(651) 288-0493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17448
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316210255
—
MN
01
—
H400203424
MEDICARE PTAN
MN
Enumeration date
02/22/2012
Last updated
09/16/2016
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