Individual
BREANNA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1369 BRADLEY ST, SAINT PAUL, MN 55130-3401
(165) 123-1784
Mailing address
1369 BRADLEY ST, SAINT PAUL, MN 55130-3401
(165) 123-1784
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22046
MN
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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