Individual
JAN RENAE HAUGRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
211 HOLMES ST W, DETROIT LAKES, MN 56501-3023
(218) 847-0629
Mailing address
45658 COUNTY HIGHWAY 23, PELICAN RAPIDS, MN 56572-7305
(218) 863-5274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12390
MN
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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