Most Relevant Information
Provider Data
| NPI Number: | 1003596388 |
| Provider Name: | EMILY LUNDGREN LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 78735 |
Most Important Dates
| Enumeration Date: | 07/20/2023 |
| Last Updated: | 07/20/2023 |
Provider Practice Location
11 E SUPERIOR ST STE 415
DULUTH
MN
558023008
Practice Location Phone/Fax
| Phone: | 2182490595 |
| Fax: |
Provider Mailing Location
11 E SUPERIOR ST STE 415
DULUTH
MN
558023008
Provider Mailing Phone/Fax
| Phone: | 2182490595 |
| Fax: |