Individual
MRS. CASSSANDRA LYNN JAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, AFC OWNER
Contact information
Practice address
2645 146TH AVE NE, HAM LAKE, MN 55304-6420
(612) 578-3602
Mailing address
2645 146TH AVE NE, HAM LAKE, MN 55304-6420
(612) 578-3602
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1092159-1-HCBS
MN
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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