Individual
JESS NOWAK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 MARTY DR STE 2, BUFFALO, MN 55313-9345
(763) 682-5420
(763) 682-5803
Mailing address
102 MARTY DR STE 2, BUFFALO, MN 55313-9345
(763) 682-5420
(763) 682-5803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25704
MN
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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