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Individual

JULIA KIMBERLY MOEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LICSW

Contact information

Practice address
821 RAYMOND AVE, SUITE 440, SAINT PAUL, MN 55114-1503
(651) 642-9318
(651) 642-1908
Mailing address
491 MONTROSE LN, SAINT PAUL, MN 55116-1134
(651) 698-4252
(651) 698-3376

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9248
MN

Other

Enumeration date
02/01/2015
Last updated
02/01/2015
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