Individual
JOAN GUDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
750 2ND ST NE STE 218, HOPKINS, MN 55343-8124
(651) 317-9659
Mailing address
4808 WILFORD WAY, EDINA, MN 55435-1563
(612) 554-5095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10935
MN
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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