| Jenn Grossman-chinburg, Licsw | |
|
1809 S Broadway Ste A Minot ND 58701-6567 | |
| (701) 833-2085 | |
| (701) 837-1360 |
| Full Name | Jenn Grossman-chinburg, Licsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1809 S Broadway Ste A, Minot, North Dakota |
| Authorized Official Name and Position | Jennifer N Grossman-chinburg (OWNER) |
| Authorized Official Contact | 5077660158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenn Grossman-chinburg, Licsw 2616 17th St Nw Minot ND 58703-5116 Ph: (507) 766-0158 | Jenn Grossman-chinburg, Licsw 1809 S Broadway Ste A Minot ND 58701-6567 Ph: (701) 833-2085 |
| NPI Number | 1093124166 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093124166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4398 (North Dakota) | Primary |
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