Individual
JANE AUFMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3450 OLEARY LN, EAGAN, MN 55123-2340
(651) 454-0114
(651) 454-3492
Mailing address
6049 LINDEN RD, WOODBURY, MN 55125-2049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4508
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105135
UCARE MN
MN
01
—
62-47091
UBH
MN
01
—
85D84AU
BCBS
MN
01
—
HP35586
HEALTHPARTNERS
MN
Enumeration date
09/28/2006
Last updated
07/08/2007
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