Individual
JODI LEIGH PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
412 GREAT OAK DRIVE, WAITE PARK, MN 56387-9807
(320) 529-0862
(320) 654-8875
Mailing address
412 GREAT OAK DR, WAITE PARK, MN 56387-2504
(320) 529-0862
(320) 654-8875
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22195
MN
1041C0700X
Clinical Social Worker
Primary
22195
MN
Other
Enumeration date
04/25/2016
Last updated
02/12/2026
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