Individual
GLENDA MAE JANZEN
Active
Individual
GLENDA MAE JANZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5597
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121386P051
UCARE
MN
01
—
323P9JA
BCBS
MN
05
—
367155100
—
MN
01
—
6267201
MEDICA
MN
01
—
HP29342
HEALTH PARTNERS
MN
01
—
NA431104226
PREFFERED ONE
MN
Enumeration date
10/27/2006
Last updated
07/08/2007
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