NPI 1003070970

Jennifer Wilson

Practitioner Social Worker Saint Paul, MN

Practice location

Address: 2230 Como Ave, Saint Paul, MN 55108-1720
Phone: (651) 635-0095
Mailing address: 1605 Eustis St, Saint Paul, MN 55108-1219

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 11006 (MN)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1003070970
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2008
Record last updated: 5 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.