Individual
JOANN L PLANAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
166 MAIN, WINONA, MN 55987
(507) 454-4341
(507) 453-6267
Mailing address
166 MAIN ST, WINONA, MN 55987-3405
(507) 454-4341
(507) 453-6267
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
15023
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167852
UCARE
MN
01
—
39D32PL
BCBS
MN
05
—
509155100
—
MN
Enumeration date
11/08/2005
Last updated
07/14/2010
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