Individual
JOAN WHITON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2649 PARK AVE, MINNEAPOLIS, MN 55407-1006
(612) 676-1604
Mailing address
3449 COLFAX AVE S, APT. 5, MINNEAPOLIS, MN 55408-4186
(612) 203-9216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19003
MN
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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