Individual
MS. HELLER SUE LANDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
15 GROVELAND TER, SUITE 202, MINNEAPOLIS, MN 55403-1154
(612) 798-1686
(612) 343-8112
Mailing address
15 GROVELAND TER, SUITE 202, MINNEAPOLIS, MN 55403-1154
(612) 798-1686
(612) 343-8112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08587
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106605
UCARE
MN
01
—
6181114
MEDICA
MN
01
—
7G548LA
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
09/28/2006
Last updated
07/08/2007
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