Joy Ann Vivian LICSW

NPI 1053657833 - Social Worker - 1041C0700X

NPI Details
NPI 1053657833
Gender Female
Enumeration Date 12/23/2012
Last Updated 12/23/2012
Entity Type Individual
Active Over 3 years ago
Practice Location
107 PAUL AVE N
COLOGNE MN, 55322-9330, US
Phone (952) 361-9700
Fax
Business Location
107 PAUL AVE N
COLOGNE MN, 55322-9330, US
Phone (952) 361-9700
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 02425
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According to our database, Ms. Joy Ann Vivian LICSW NPI is 1053657833, taxonomy code is 1041C0700X and license number is 02425, license state is located at Minnesota. Joy Ann Vivian LICSW physically located at 107 Paul Ave N, Cologne MN, 55322-9330. NPI Number Joy Ann Vivian LICSW has the Individual type.

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1053657833 NPI number is provided on an as is basis without warranty of any kind. 1053657833 is maintained by the National Plan & Provider Enumeration System. The contents of Joy Ann Vivian LICSW are for informational purposes only.