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Individual

JENNIFER ANNE NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2700 1ST ST N, SUITE 103, SAINT CLOUD, MN 56303-4256
(320) 259-6022
Mailing address
10333 HIGHWAY 25 NE, FOLEY, MN 56329-8402

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
172981
MN

Other

Enumeration date
03/16/2007
Last updated
07/08/2007
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