Individual
JESSICA LADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11468 MARKETPLACE DR N STE 600-324, CHAMPLIN, MN 55316-3872
(763) 260-5730
(763) 220-3738
Mailing address
10778 RHODE ISLAND AVE N, BROOKLYN PARK, MN 55445-1208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27715
MN
Other
Enumeration date
01/25/2021
Last updated
09/19/2023
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