Individual
KRISTIN LEIGH JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5315 LYNDALE AVE S, MINNEAPOLIS, MN 55419-1270
(608) 332-5230
Mailing address
4014 GRAND AVE S, MINNEAPOLIS, MN 55409-1537
(608) 332-5230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28369
MN
Other
Enumeration date
06/22/2021
Last updated
03/27/2025
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