| Jessica Podpeskar | |
|
4140 Richard Ave Ste 314 Hermantown MN 55811-3309 | |
| (218) 721-8710 | |
| Not Available |
| Full Name | Jessica Podpeskar |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4140 Richard Ave Ste 314, Hermantown, Minnesota |
| Authorized Official Name and Position | Jessica M Podpeskar (LICSW) |
| Authorized Official Contact | 2187218710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Podpeskar 4140 Richard Ave Ste 314 Hermantown MN 55811-3309 Ph: (218) 721-8710 | Jessica Podpeskar 4140 Richard Ave Ste 314 Hermantown MN 55811-3309 Ph: (218) 721-8710 |
| NPI Number | 1780428805 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780428805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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