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Individual

MS. JANE SHELGREN DIAMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1620 HIGHWAY 36 W, 302, ROSEVILLE, MN 55113-4063
(651) 638-9396
Mailing address
1620 HIGHWAY 36 W, 302, ROSEVILLE, MN 55113-4063
(651) 638-9396

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
BCD 015832
1041C0700X
Clinical Social Worker
ICBMCPI - 1908
1041C0700X
Clinical Social Worker
Primary
MN - 00633
MN

Other

Enumeration date
12/15/2006
Last updated
07/08/2007
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