Jina Vincent Br Mccann in Mound - Clinical
Jina Vincent Br Mccann - NPI 1144209826
Jina Vincent Br Mccann is a Clinical in Mound, Minnesota. Jina Vincent Br Mccann practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jina Vincent Br Mccann is 1144209826. The last update date is 2021-11-16.
Jina Vincent Br Mccann's current location address is 6348 Lynwood Blvd, Mound, Minnesota. You can contact this provider via phone number 6179016292. The mailing address for Jina Vincent Br Mccann is 6348 Lynwood Blvd, Mound, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jina Vincent Br Mccann |
|---|---|
| Address | 6348 Lynwood Blvd, Mound, Minnesota |
| Phone Number | 6179016292 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1144209826 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2021-11-16 |
Provider Mailing Address Detail
| Address | 6348 Lynwood Blvd |
|---|---|
| City | Mound |
| State | Minnesota (MN) |
| Post Code | 553641404 |
| Phone Number | 6179016292 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 27599 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Could you please provide the complete street address where Jina Vincent Br Mccann is physically located?
The Jina Vincent Br Mccann is physically situated at the following address: 6348 Lynwood Blvd, Mound, MN, 553641404.
When did the Jina Vincent Br Mccann receive its 1144209826?
The Jina Vincent Br Mccann was issued its 1144209826 on 2006-01-11, which is the date when the organization was assigned this unique identifier.
On what date did the Jina Vincent Br Mccann receive its 1144209826 assignment from the Centers for Medicare & Medicaid Services?
The Jina Vincent Br Mccann was assigned its 1144209826 by the Centers for Medicare & Medicaid Services on 2006-01-11.
As of what date were the Jina Vincent Br Mccann's details last updated?
The information pertaining to the Jina Vincent Br Mccann, including its address, specialty, and other details, was most recently updated on 2021-11-16.
As of what date were the details related to Jina Vincent Br Mccann most recently updated or revised?
The information pertaining to Jina Vincent Br Mccann, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-16.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC