Individual
JAYME LOPUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21179
MN
Other
Enumeration date
08/27/2013
Last updated
05/02/2017
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