Individual
JANE HURLEY-JOHNCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2649 PARK AVE, MINNEAPOLIS, MN 55407-1006
(612) 676-1604
(612) 379-8235
Mailing address
1311 DEVONSHIRE CURV, BLOOMINGTON, MN 55431-5001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03303
MN
Other
Enumeration date
03/09/2007
Last updated
10/30/2007
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