JODY WALLIN

MAPLE GROVE, MN
NPI1124449392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  20641)
Enumeration Date2013-12-13
Last Update Date2013-12-13
Business Address
-- JODY WALLIN LICSW
12915 63RD AVE N
MAPLE GROVE, MN 55369-6001
Phone number: 952-826-8465
Mailing Address
-- JODY WALLIN LICSW
12915 63RD AVE N
MAPLE GROVE, MN 55369-6001
Phone number: 952-826-8465