Individual
ANN LAURIE WOODRUFF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0449
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0449
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9057
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043156
PREFERRED ONE
—
01
—
113269
BHP
—
01
—
520T5WO
BCBS
MN
01
—
6237995
MEDICA UBH
—
05
—
6570580
—
SD
01
—
HP48062
HEALTH PARTNERS
—
Enumeration date
05/08/2006
Last updated
07/08/2007
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