Individual
DONALD JAEHNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2074
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106232
UC
MN
01
—
120526
CP
MN
01
—
17586
HP
MN
01
—
570029
P1
MN
01
—
62-20089
UBH
MN
01
—
OG026JA
BCBS
MN
Enumeration date
07/27/2006
Last updated
07/08/2007
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