Individual
MS. LYNDRA HEARN ANTONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
17819 HUTCHINS DR, MINNETONKA, MN 55345-4106
(952) 470-1186
(952) 470-1187
Mailing address
3223 ROBINWOOD LN, MINNETONKA, MN 55305-4331
(952) 938-3947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11804
MN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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