Individual
CHERYL LYNN LUNDSGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW, LICSW
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 939-0396
(952) 548-8760
Mailing address
8141 W 103RD ST, BLOOMINGTON, MN 55438-1913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
01028
IA
1041C0700X
Clinical Social Worker
Primary
12987
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334827000
—
MN
Enumeration date
11/27/2006
Last updated
01/19/2012
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