Individual
JUDITH EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
525 PORTLAND AVE, HSPHD, M965, MINNEAPOLIS, MN 55415-1533
(612) 348-3000
Mailing address
525 PORTLAND AVE, HSPHD, M965, MINNEAPOLIS, MN 55415-1533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5419
MN
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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