Individual
JESSICA JOYCE COLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
217 NW 1ST AVE, GRAND RAPIDS, MN 55744-2702
(218) 750-0922
(651) 925-0610
Mailing address
217 NW 1ST AVE, GRAND RAPIDS, MN 55744-2702
(218) 750-0922
(651) 925-0610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28194
MN
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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