D'Undra Willis, LICSW
D'Undra Willis, LICSW is a Clinical Social Worker in Fridley, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2017
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
1250 Moore Lake Dr E Ste 205DFridley, MN 55432-5176
Phone: (612) 412-4819
Fax: (651) 304-6027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 23648 (MN) |
|---|
Record details
| NPI number | 1043747926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2017 |
| Last updated in NPPES | November 22, 2024 |
| Certification date | November 22, 2024 |
| Mailing address | 1250 Moore Lake Dr E Ste 205d, Fridley, MN 55432-5176 |
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