Provider Demographics
NPI:1114093903
Name:ZINSKI, JULIE MARIE (SW)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:ZINSKI
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:MARIE
Other - Last Name:PETERSON-ZINSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SW
Mailing Address - Street 1:7309 W 83RD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-1107
Mailing Address - Country:US
Mailing Address - Phone:952-944-3488
Mailing Address - Fax:952-944-3488
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12719104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker