Lainie K Janke LICSW

NPI 1740275395 - Social Worker - 104100000X

NPI Details
NPI 1740275395
Gender Female
Enumeration Date 09/20/2005
Last Updated 11/29/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
220 RAILROAD ST SE
THERAPEUTIC SERVICES AGENCY INC
PINE CITY MN, 55063-1540, US
Phone (320) 629-7600
Fax (320) 629-7900
Business Location
2860 GANDER DR
WILLOW RIVER MN, 55795-3291, US
Phone (218) 591-6334
Fax
Toxanomy
Taxonomy Code 104100000X
License State Minnesota
License Number 15154
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According to our database, Mrs. Lainie K Janke LICSW NPI is 1740275395, taxonomy code is 104100000X and license number is 15154, license state is located at Minnesota. Lainie K Janke LICSW physically located at 220 Railroad St Se, Pine City MN, 55063-1540. NPI Number Lainie K Janke LICSW has the Individual type.

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1740275395 NPI number is provided on an as is basis without warranty of any kind. 1740275395 is maintained by the National Plan & Provider Enumeration System. The contents of Lainie K Janke LICSW are for informational purposes only.