Organization
JESSICA PODPESKAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M PODPESKAR (LICSW)
(218) 721-8710
Entity
Organization
Contact information
Practice address
4140 RICHARD AVE STE 314, HERMANTOWN, MN 55811-3309
(218) 721-8710
Mailing address
4140 RICHARD AVE STE 314, HERMANTOWN, MN 55811-3309
(218) 721-8710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
09/17/2024
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