JAY LEE THEISEN

MINNEAPOLIS, MN
NPI1588627889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  13782)
Enumeration Date2006-04-08
Last Update Date2007-07-08
Business Address
-- JAY LEE THEISEN MSW LICSW
2649 PARK AVE
MINNEAPOLIS, MN 55407
Phone number: 612-676-1604
Mailing Address
-- JAY LEE THEISEN MSW LICSW
2649 PARK AVE
MINNEAPOLIS, MN 55407
Phone number: 612-676-1604
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