Individual
MS. LAURA SUSANNE STEGENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6363 FRANCE AVE S, EDINA, MN 55435-2129
(952) 903-1263
Mailing address
6363 FRANCE AVE S, EDINA, MN 55435-2129
(952) 903-1263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18195
MN
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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