NPI 1003120395
Iva Joan Stauffer, LICSW
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
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.