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Individual

BRIANNA LUNDGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3601 MINNESOTA DR STE 575, EDINA, MN 55435-5213
(612) 799-8975
Mailing address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106S00000X
Behavior Technician

Other

Enumeration date
06/13/2019
Last updated
06/27/2024
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