Individual
LAURIE ENDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1101 E 78TH ST STE 100, BLOOMINGTON, MN 55420-1402
(952) 854-5034
Mailing address
3245 OAKLAND AVE, MINNEAPOLIS, MN 55407-2003
(612) 812-8079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
28160
MN
1041C0700X
Clinical Social Worker
Primary
28160
MN
Other
Enumeration date
07/30/2021
Last updated
06/01/2023
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