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Jeanne Martha Abicht, MSW LICSW

Social Worker, Clinical in Maple Grove, MN. Individual provider (NPI-1).

NPI number1821566498
StatusActive
Last updated in NPPESMay 2, 2019

Details

NPI
1821566498
Entity type
Individual (NPI-1)
Name
Jeanne Martha Abicht
Credential
MSW LICSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 12, 2018
Last updated
May 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical23823MNYes

Practice location

12918 63rd Ave N
Maple Grove, MN 55369-6001

Phone 763-219-9966

Mailing address

12918 63rd Ave N
Maple Grove, MN 55369-6001

Phone 763-210-9966

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