Individual
JENNIFER LEAFBLAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108-5109
(651) 241-9700
(651) 241-9678
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-9035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21823
MN
Other
Enumeration date
04/17/2017
Last updated
02/01/2023
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