Most Relevant Information
Provider Data
| NPI Number: | 1003070970 |
| Provider Name: | JENNIFER WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 11006 |
Most Important Dates
| Enumeration Date: | 07/10/2008 |
| Last Updated: | 05/05/2009 |
Provider Practice Location
2230 COMO AVE
SAINT PAUL
MN
551081720
Practice Location Phone/Fax
| Phone: | 6516350095 |
| Fax: |
Provider Mailing Location
1605 EUSTIS ST
SAINT PAUL
MN
551081219
Provider Mailing Phone/Fax
| Phone: | 6516466393 |
| Fax: |