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Individual

MR. JONATHAN FLOYD VAUGHAN-FIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW

Contact information

Practice address
241 CLEVELAND AVE S, SAINT PAUL, MN 55105-1208
(651) 214-0181
Mailing address
1426 JULIET AVE, SAINT PAUL, MN 55105-2565
(651) 224-4349

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16028
MN

Other

Enumeration date
04/29/2009
Last updated
04/29/2009
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