Provider First Line Business Practice Location Address:
3133 HENNEPIN AVE SO
Provider Second Line Business Practice Location Address:
JENNIFER LEOPOLD LICSW
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-718-9327
Provider Business Practice Location Address Fax Number:
612-822-4477
Provider Enumeration Date:
11/07/2006