Tracy Jan Jeremiason MSW, LICSW

NPI 1295067577 - Social Worker - 1041C0700X

NPI Details
NPI 1295067577
Gender Female
Enumeration Date 02/11/2010
Last Updated 02/11/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
520 NW 5TH ST
BRAINERD MN, 56401-2902, US
Phone (218) 851-6242
Fax
Business Location
520 NW 5TH ST
BRAINERD MN, 56401-2902, US
Phone (218) 851-6242
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 13130
Remove 1295067577 NPI Number
 

According to our database, Mrs. Tracy Jan Jeremiason MSW, LICSW NPI is 1295067577, taxonomy code is 1041C0700X and license number is 13130, license state is located at Minnesota. Tracy Jan Jeremiason MSW, LICSW physically located at 520 Nw 5th St, Brainerd MN, 56401-2902. NPI Number Tracy Jan Jeremiason MSW, LICSW has the Individual type.

Sponsored links

1295067577 NPI number is provided on an as is basis without warranty of any kind. 1295067577 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Jan Jeremiason MSW, LICSW are for informational purposes only.