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Search › Minnesota › 103TC1900X

Jennifer Ullom, MA, LP

NPI 1366643868 · on the registry since 2007 · sole proprietor

Practice

Address
700 Twelve Oaks Center Dr
Ste 204
Wayzata, MN 55391
Phone
(612) 306-8499
Fax
(651) 374-9641
Organisation at this address
Csm Resources Pc
True Care Health Pa
Emma Nadler, L.L.C.
Golden Hour Therapy Llc
West Lake Family Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Also registered as
103T00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota