NPI 1043385032

Jennifer Jo Faul, LCSWINNDLGSWINM

Practitioner Clinical Social Worker Moorhead, MN

Practice location

Address: 2925 20th St S, Moorhead, MN 56560
Phone: (218) 284-0300
Fax: (218) 284-5944
Mailing address: PO Box 111, Davenport, ND 58021

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 11233 (MN)

Other Social Worker providers in Minnesota →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2994 (ND)

Registry record

NPI: 1043385032
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2006
Record last updated: 8 Jul 2007

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.