Individual
JULIAN SANBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LICSW, SEP
Contact information
Practice address
5353 WAYZATA BLVD STE 202, ST LOUIS PARK, MN 55416-1316
(763) 432-4071
Mailing address
5353 WAYZATA BLVD STE 202, ST LOUIS PARK, MN 55416-1316
(763) 432-4071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28425
MN
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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