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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA FANBERG

Active

JESSICA FANBERG is a Clinical Social Worker healthcare provider located in COON RAPIDS, Minnesota. NPI 1679947543 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · COON RAPIDS, MN

Registration Details

NPI Number
1679947543
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2015 (10.72233565589 yrs)
Last Updated
Nov 16, 2015
License
18522 (MN)

Practice Information

Address
3833 COON RAPIDS BLVD NW STE 120
COON RAPIDS, MN, 554332599
Browse MN providers · Browse ZIP 55433
Phone
7637673350
Fax
7637470912
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in COON RAPIDS, MN

Name Credential NPI
LADONNA RAE MEINECKE LICSW 1568436525
RICHARD ALAN WANDERSEE MSW LICSW 1083689624
ROBERT ALLEN SULLIVAN LICSW 1548224355
KRISTI RUTH SANDIN MSW, LICSW 1326076050
DAVID J MATHEWS LICSW 1093815136
MARLENE ANN BEECROFT MSSW, LICSW 1194867432
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.