Individual
LORRAINE ANN KNUDTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1684 SELBY AVE, SAINT PAUL, MN 55104-6149
(612) 756-4983
(651) 234-8955
Mailing address
660 SOUTH FREEWAY ROAD, MENDOTA HEIGHTS, MN 55118
(612) 756-4983
(651) 234-8955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21260
MN
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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