Individual
MRS. ANNE JUDITH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10505 WAYZATA BLVD, STW 200, MINNETONKA, MN 55305-1502
(763) 546-5797
Mailing address
10505 WAYZATA BLVD, STE 200, MINNETONKA, MN 55305-1502
(763) 546-5797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10268
MN
174400000X
Specialist
Primary
10268
MN
Other
Enumeration date
06/09/2008
Last updated
02/04/2013
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