Individual
ANNE L LIST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, F196, MINNEAPOLIS, MN 55454-1512
(612) 672-2130
Mailing address
6833 2ND AVE S, RICHFIELD, MN 55423-2478
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08671
MN
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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