Individual
ANNETTE PRIDEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
6363 FRANCE AVE S STE 402, EDINA, MN 55435-2142
(612) 274-7570
Mailing address
16077 BAYWOOD LN, EDEN PRAIRIE, MN 55346-2409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27741
MN
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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