Individual
BRIAN JESSY ODUGUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
ADDRESS: 10000 HWY 55, SUITE 200, PLYMOUTH, MN 55441
(612) 217-2019
Mailing address
1904 14TH ST S, SAINT CLOUD, MN 56301-4813
(763) 772-7737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22350
MN
Other
Enumeration date
11/19/2020
Last updated
04/17/2026
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