Individual
JOANN DENISE GASNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED SOCIAL WORK
Contact information
Practice address
9848 FOLEY BLVD NW, COON RAPIDS, MN 55433-5617
(612) 598-4341
Mailing address
4655 FREMONT AVE N, MINNEAPOLIS, MN 55412
(612) 200-7344
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1598
MN
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598
LICENSED SOCIAL WORKER
MN
Enumeration date
07/19/2016
Last updated
04/06/2023
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