Individual
JAMIE NUPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 2ND ST S, STILLWATER, MN 55082-6214
(651) 491-1254
Mailing address
1312 2ND ST S, STILLWATER, MN 55082-6214
(651) 491-1254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19390
MN
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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