Individual
JOEL P. GROSTEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
3011 36TH AVE S STE 4, MINNEAPOLIS, MN 55406
(651) 307-7100
Mailing address
3011 36TH AVE S STE 4, MINNEAPOLIS, MN 55406-2800
(651) 307-7100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20930
MN
Other
Enumeration date
01/31/2013
Last updated
08/10/2018
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