Individual
GLENNA COLERIDER-KRUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(889) 861-2223
Mailing address
5329 CHICAGO AVE, MINNEAPOLIS, MN 55417-1733
(626) 676-5080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29551
MN
Other
Enumeration date
02/02/2022
Last updated
05/13/2024
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