Individual
MS. JEAN WALSTROM HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., LICSW
Contact information
Practice address
91 N. SNELLING AVENUE, SUITE 230, ST. PAUL, MN 55104
(612) 702-5910
Mailing address
91 N. SNELLING AVENUE, SUITE 230, ST. PAUL, MN 55104
(612) 702-5910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17013
MN
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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