Individual
AMANDA M LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3815 15TH AVE S, MINNEAPOLIS, MN 55407-2740
(612) 578-3522
Mailing address
3815 15TH AVE S, MINNEAPOLIS, MN 55407-2740
(612) 578-3522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16207
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527460505
—
MN
01
—
99G82GR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/28/2007
Last updated
02/15/2017
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