Individual
MS. JEAN IRENE GRESETH KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
515 BRIDGE STREET EAST, PARK RAPIDS, MN 56470-1810
(218) 366-9229
(218) 237-2520
Mailing address
515 BRIDGE STREET EAST, PARK RAPIDS, MN 56470-1810
(218) 366-9229
(218) 237-2520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03855
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7528574-00
—
MN
Enumeration date
07/29/2006
Last updated
05/10/2010
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