Individual
HEATHER GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3490 LEXINGTON AVE N, SHOREVIEW, MN 55126-8074
(651) 486-3808
(651) 486-3858
Mailing address
6425 NICOLLET AVE, RICHFIELD, MN 55423-1675
(612) 861-1675
(612) 861-3446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17529
MN
Other
Enumeration date
08/07/2008
Last updated
10/27/2014
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