Individual
MS. JEANNE LYNN FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
821 RAYMOND AVE STE 200B, SAINT PAUL, MN 55114-1503
(612) 760-7818
(512) 049-0396
Mailing address
821 RAYMOND AVE STE 200B, SAINT PAUL, MN 55114-1532
(612) 760-7818
(651) 204-9039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13825
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246900600
—
MN
Enumeration date
05/01/2007
Last updated
10/03/2019
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