Individual
MS. JENNIFER LEE JENDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 229N, SAINT PAUL, MN 55114-1052
(612) 483-5183
Mailing address
4733 14TH AVE S, MINNEAPOLIS, MN 55407-3646
(612) 483-5183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16610
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
986450400
—
MN
Enumeration date
09/14/2006
Last updated
09/01/2011
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