Individual
JILL SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6458
Mailing address
6954 TARTAN CURV, EDEN PRAIRIE, MN 55346-3360
(612) 813-6458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15127
MN
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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