Kelly Jensen

NPI #1548670698 in Bottineau, North Dakota

Provider Information

NPI Number: 1548670698
Entity Type: Individual
Name: Kelly Jensen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Apr 29, 2014
Last Updated: Apr 29, 2014

Practice Location

Address: 314 5TH ST W
Address 2: STE. 1
City: Bottineau
State: North Dakota
ZIP Code: 58318-1204
Phone: (701) 228-3613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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