Jessica Podpeskar
NPI #1780428805 in Hermantown, Minnesota
Provider Information
- NPI Number
- 1780428805
- Entity Type
- Organization
- Organization Name
- Jessica Podpeskar
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 24, 2024
- Last Updated
- Sep 17, 2024
Practice Location
- Address
- 4140 RICHARD AVE STE 314
- City
- Hermantown
- State
- Minnesota
- ZIP Code
- 55811-3309
- Phone
- (218) 721-8710
Authorized Official
- Name
- JESSICA M PODPESKAR
- Title
- LICSW
- Phone
- (218) 721-8710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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