Individual
IVA JOAN STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5905 GOLDEN VALLEY RD, SUITE 100, GOLDEN VALLEY, MN 55422-4463
(612) 617-7802
(612) 331-6772
Mailing address
2021 E HENNEPIN AVE, SUITE 200, MINNEAPOLIS, MN 55413-2700
(612) 617-7802
(612) 331-6772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19293
MN
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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