Individual
JENNIFER MCVAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
7800 METRO PKWY, SUITE 300, BLOOMINGTON, MN 55425-1514
(952) 854-4377
Mailing address
4290 SUNRISE RD, EAGAN, MN 55122-2249
(612) 508-8715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15431
MN
Other
Enumeration date
11/15/2005
Last updated
07/15/2009
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