Individual
MATTHEW DWAINE JADLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2990 CENTRE POINTE DR, ROSEVILLE, MN 55113-1182
(651) 638-1560
Mailing address
2990 CENTRE POINTE DR, ROSEVILLE, MN 55113-1182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28109
MN
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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