Individual
JODI VANDENBOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 20TH AVE, HILLS, MN 56138-4002
(605) 321-1329
Mailing address
191 20TH AVE, HILLS, MN 56138-4002
(605) 321-1329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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