Individual
CAROL J LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW LSSW
Contact information
Practice address
8317 PILLSBURY AVE S, BLOOMINGTON, MN 55420-2241
(612) 554-8560
Mailing address
4505 WHITE BEAR PKWY, STE 1500, SAINT PAUL, MN 55110-3697
(651) 493-8150
(651) 493-9935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20481
MN
Other
Enumeration date
03/28/2015
Last updated
11/04/2020
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