Individual
JANE MARTINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 FORSSA WAY, EAGAN, MN 55122-2693
(612) 685-7094
Mailing address
1765 FORSSA WAY, EAGAN, MN 55122-2693
(612) 685-7094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15538
MN
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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