MR. JEFFRY JEANETTA WARK, MA LICSW

Social Worker - Clinical

Active Individual
NPI: 1982778932

Practice Address

1751 COUNTY ROAD B W STE 100
Roseville, MN 55113

Phone: (651) 698-0768

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 09459 (MN)

Frequently Asked Questions

NPI 1982778932 is the National Provider Identifier for MR. JEFFRY JEANETTA WARK, MA LICSW, a Social Worker - Clinical provider located in Roseville, MN. This NPI was enumerated on November 20, 2006.
MR. JEFFRY JEANETTA WARK, MA LICSW practices at 1751 COUNTY ROAD B W STE 100, Roseville, MN 55113.

Quick Facts

NPI
1982778932
Type
Individual
Enumerated
Nov 20, 2006
Last Updated
Mar 21, 2018

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