Individual
JESSICA COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2310 NW 3RD ST, GRAND RAPIDS, MN 55744-2135
(218) 328-3214
Mailing address
41332 COUNTY ROAD 603, NASHWAUK, MN 55769-4149
(218) 966-2384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30094
MN
Other
Enumeration date
09/27/2023
Last updated
04/24/2025
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