Individual
JOSEPH R CLUBB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
69 EXCHANGE ST W, SAINT PAUL, MN 55102-1004
(651) 232-3256
(651) 326-8616
Mailing address
69 EXCHANGE ST W, SAINT PAUL, MN 55102-1004
(651) 232-3256
(651) 326-8616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3819
MN
Other
Enumeration date
03/30/2006
Last updated
07/08/2007
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