Individual
JENNIFER LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036
(763) 780-0784
Mailing address
5243 HUMBOLDT AVE N, MINNEAPOLIS, MN 55430-3428
(651) 307-1447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15971
MN
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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