Woodruff, Ann Laurie

Woodruff, Ann Laurie is an individual health care provider with primary practice located at 3915 Golden Valley Rd Courage Center, Golden Valley MN 55422-4298. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woodruff, Ann Laurie can be contacted via phone (763) 520-0449.

Contact Information

Primary practice address
3915 Golden Valley Rd Courage Center Golden Valley MN 55422-4298
Phone: (763) 520-0449
Fax: (763) 520-0355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9057 Minnesota

Profile Details

NPI number 1578512588
LBN Legal business name Woodruff, Ann Laurie
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578512588 NPPES
Other 113269 BHP
Other 113269 BHP
Other 520T5WO BHP
MEDICAID 6570580 BHP
Other 6237995 BHP
Other HP48062 BHP
Other 1043156 BHP

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