Individual
GUDRUN TEIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LADC
Contact information
Practice address
1650 MADISON AVE STE 102, MANKATO, MN 56001-5471
(507) 345-7012
(507) 388-6937
Mailing address
1650 MADISON AVE STE 102, MANKATO, MN 56001-5471
(507) 345-7012
(507) 388-6937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23674
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548700859
—
MN
Enumeration date
03/06/2017
Last updated
12/09/2020
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