Individual
JILL CHRISTINE WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
819 HOLLY AVE, SAINT PAUL, MN 55104-7137
(612) 702-2978
Mailing address
819 HOLLY AVE, SAINT PAUL, MN 55104-7137
(612) 702-2978
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16764
MN
Other
Enumeration date
06/23/2010
Last updated
12/06/2016
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