Individual
MRS. AMY LYN ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
1 VETERANS DR, #122, MINNEAPOLIS, MN 55417-2309
(612) 467-3238
Mailing address
3890 WORCHESTER DR, EAGAN, MN 55123-1651
(651) 688-6468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12919
MN
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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