Individual
JEREMY MICHAEL SARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
4801 VETERANS DR., ST. CLOUD, MN 56303-2015
(320) 298-2041
(320) 255-6327
Mailing address
4801 VETERANS DR., ST. CLOUD, MN 56303-2015
(320) 298-2041
(320) 255-6327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27405
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27405
MN BOARD OF SOCIAL WORK
MN
Enumeration date
04/08/2021
Last updated
04/08/2021
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