Individual
JENNIE JEAN POGREBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4154 SHORELINE DR, SPRING PARK, MN 55384-5606
(612) 567-0316
(952) 491-9460
Mailing address
833 DEERFIELD RD, WATERTOWN, MN 55388-9275
(952) 807-8059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14716
MN
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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