Organization · Type 2 NPI
Joan Gudorf Licsw
Mental Health Clinic/Center (Including Community Mental Health Center) · Edina, MN
NPI number
1508664269
Active
Practice location
4530 77th St W Ste 325
Edina, MN 55435-5012
Mailing address
4808 Wilford Way
Edina, MN 55435-1563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1508664269
Joan Gudorf Licsw's National Provider Identifier is 1508664269, issued on Mar 6, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Edina, MN. The record was last updated on Dec 11, 2025.