Individual
JENNIFER NOVALANY KANUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7840 VINEWOOD LN N, MAPLE GROVE, MN 55369-7185
(763) 236-0200
Mailing address
11625 61ST AVE N, PLYMOUTH, MN 55442-1209
(763) 360-8506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22022
MN
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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