Search › Minnesota › 1041S0200X
Andrea Jagusch, LICSW
NPI 1861736878 · on the registry since 2012
Practice
- Address
- 1575 Beam Ave
Maplewood, MN 55109 - Phone
- (651) 326-7662
- Organisation at this address
- Healtheast St. John'S Hospital
Healtheast St. John'S Hospital
Healtheast Medical Research InstituteInferred from a shared address, not stated in the registry. - Clinicians at this address
- 176
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-15
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