Individual
JENNIFER FRANCES WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
13100 WAYZATA BLVD OFC CTR, MINNETONKA, MN 55305-1802
(952) 206-2040
Mailing address
5301 MICHAELE LN, MINNETONKA, MN 55345-4225
(651) 788-3945
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12336
MN
Other
Enumeration date
04/06/2007
Last updated
12/05/2022
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