Organization
ANDSDOTTER CHARLOTTA CHARTERED
Active
Organization
ANDSDOTTER CHARLOTTA CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE JEAN IPSEN MSW (PRESIDENT/PSYCHOTHERAPIST)
(612) 377-1701
Entity
Organization
Contact information
Practice address
2406 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1013
(612) 377-1701
Mailing address
2406 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1013
(612) 377-1701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW 2075
MN
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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