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JEANNE MARTHA ABICHT MSW LICSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1821566498
Provider Type
Individual Provider (NPI-1)
Credentials
MSW LICSW
Status
Active

Contact & Location

Address
12918 63RD AVE N, MAPLE GROVE, MN, 553696001
Phone
(763) 219-9966

Specialties & Taxonomies

Social Worker, Clinical Primary License: MN #23823

All Addresses

LOCATION

12918 63RD AVE N

MAPLE GROVE, MN, 553696001

(763) 219-9966

MAILING

12918 63RD AVE N

MAPLE GROVE, MN, 553696001

(763) 210-9966