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Individual

MS. JEANNE MARIE LENERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
525 PORTLAND MC 965, MINNEAPOLIS, MN 55415-1533
(612) 348-2233
Mailing address
525 PORTLAND AVE, MC 965, MINNEAPOLIS, MN 55415-1533
(612) 348-2233

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8070
MN

Other

Enumeration date
05/08/2013
Last updated
05/08/2013
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