Individual
MRS. LAINIE K JANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
220 RAILROAD ST SE, THERAPEUTIC SERVICES AGENCY INC, PINE CITY, MN 55063-1540
(320) 629-7600
(320) 629-7900
Mailing address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(320) 629-7600
(651) 925-0071
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15154
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186686900
—
MN
01
—
483T9JA
BCBS
MN
01
—
HP44062
HEALTH PARTNERS
—
Enumeration date
09/20/2005
Last updated
12/10/2021
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