Individual
MRS. NICOLE S. UZENDOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1061 GRAND AVE, SAINT PAUL, MN 55105-3002
(651) 212-4920
Mailing address
1061 GRAND AVE, SAINT PAUL, MN 55105-3002
(612) 644-0415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17773
MN
Other
Enumeration date
02/09/2007
Last updated
04/01/2015
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