Whalio Doctors

NPI 1003120395

Iva Joan Stauffer, LICSW

Practitioner Clinical Social Worker Golden Valley, MN

Practice location

Address
5905 Golden Valley Rd Suite 100, Golden Valley, MN 55422-4463
Phone
(612) 617-7802
Fax
(612) 331-6772
Mailing address
2021 E Hennepin Ave Suite 200, Minneapolis, MN 55413-2700

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 19293 (MN)

Registry record

NPI
1003120395
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Jul 2010
Record last updated
29 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.