Individual
JESSICA GRUNDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
19482 COUNTY ROAD 9, LESTER PRAIRIE, MN 55354-6302
(952) 769-3655
Mailing address
19482 COUNTY ROAD 9, LESTER PRAIRIE, MN 55354-6302
(952) 769-3655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26165
MN
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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