Tammy Jan Jedlicka MSW, LICSW

NPI 1982702361 - Social Worker - 1041C0700X

NPI Details
NPI 1982702361
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
505 BEMIDJI AVE N STE 2
BEMIDJI MN, 56601-3091, US
Phone (218) 333-8496
Fax (218) 751-0253
Business Location
16267 CARTER LAKE RD SE
HINES MN, 56647-5778, US
Phone (218) 586-2409
Fax (218) 751-0253
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 13089
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According to our database, Tammy Jan Jedlicka MSW, LICSW NPI is 1982702361, taxonomy code is 1041C0700X and license number is 13089, license state is located at Minnesota. Tammy Jan Jedlicka MSW, LICSW physically located at 505 Bemidji Ave N Ste 2, Bemidji MN, 56601-3091. NPI Number Tammy Jan Jedlicka MSW, LICSW has the Individual type.

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1982702361 NPI number is provided on an as is basis without warranty of any kind. 1982702361 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Jan Jedlicka MSW, LICSW are for informational purposes only.