Individual
JENNY MARIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1262 CEDAR ST, MONTICELLO, MN 55362-8913
(763) 732-3351
(763) 322-5026
Mailing address
14599 83RD ST NE, OTSEGO, MN 55330-6613
(763) 242-1438
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4559
MN
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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