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Individual

LYN BADJE GERDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW, LICSW

Contact information

Practice address
2829 UNIVERSITY AVE SE STE 400, MINNEAPOLIS, MN 55414-4603
(612) 874-6409
(612) 874-0157
Mailing address
2829 UNIVERSITY AVE SE STE 400, MINNEAPOLIS, MN 55414-4603
(612) 874-6409
(612) 874-0157

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02678
MN

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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