Individual
JANE M. L. HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, LP
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
Mailing address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3722
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700AIHO
BLUECROSS/BLUE SHEILD PIN
MN
01
—
804614000
MN. HLTH.CARE PROGRAM NO.
MN
Enumeration date
11/01/2006
Last updated
11/08/2017
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