Tammy Jan Jedlicka, MSW, LICSW

NPI #1982702361 in Bemidji, Minnesota

Provider Information

NPI Number: 1982702361
Entity Type: Individual
Name: Tammy Jan Jedlicka, MSW, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LICSW
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 505 BEMIDJI AVE N STE 2
City: Bemidji
State: Minnesota
ZIP Code: 56601-3091
Phone: (218) 333-8496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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