Organization
JOAN GUDORF LICSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN GUDORF LICSW (OWNER/LICENSED SOCIAL WORKER)
(612) 555-5095
Entity
Organization
Contact information
Practice address
4530 77TH ST W STE 325, EDINA, MN 55435-5012
(612) 554-5095
Mailing address
4808 WILFORD WAY, EDINA, MN 55435-1563
(612) 554-5095
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
12/11/2025
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