Individual
JACK LOFGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4346 5TH AVE S, MINNEAPOLIS, MN 55409-2122
(320) 309-4694
Mailing address
4346 5TH AVE S, MINNEAPOLIS, MN 55409-2122
(320) 309-4694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25292
MN
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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