Individual
DENISE K HALDORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3400
Mailing address
5662 180TH ST W, FARMINGTON, MN 55024-8889
(218) 209-1173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15222
MN
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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