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Individual

COURTNEY JEAN GUNDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
5384 5TH ST NE, FRIDLEY, MN 55421-1108
(763) 572-0009
(763) 537-7162
Mailing address
6120 EARLE BROWN DR STE 100, BROOKLYN CENTER, MN 55430-4100
(715) 781-5491
(763) 537-7162

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
12/05/2019
Last updated
04/02/2021
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