Individual
MISS MARY JO JIRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1600 8TH AVE NW # E12, AUSTIN, MN 55912-1400
(888) 423-7247
Mailing address
210 MCARTHUR DR, ALBERT LEA, MN 56007-4341
(319) 240-6238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
302505
MN
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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