Individual
MRS. JENNA C BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
653 GRAND AVE, SAINT PAUL, MN 55105-3401
(651) 212-4920
Mailing address
1471 PORTLAND AVE APT 1, SAINT PAUL, MN 55104-6869
(612) 695-1799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24945
MN
Other
Enumeration date
10/08/2018
Last updated
01/29/2022
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