Individual
JOAN W. LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11900 WAYZATA BLVD, SUITE 200, MINNETONKA, MN 55305-2031
(952) 270-4040
(952) 546-1308
Mailing address
11900 WAYZATA BLVD, SUITE 200, MINNETONKA, MN 55305-2031
(952) 270-4040
(952) 546-1308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16607
MN
Other
Enumeration date
01/09/2006
Last updated
03/06/2014
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