Individual
JORDAN PUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-2498
(952) 993-2505
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23478
MN
1041C0700X
Clinical Social Worker
074464
IA
Other
Enumeration date
08/12/2014
Last updated
07/13/2023
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