Erica Christine Gwillim MSW, LICSW

NPI 1093737736 - Social Worker - 1041C0700X

NPI Details
NPI 1093737736
Gender Female
Enumeration Date 07/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1900 SILVER LAKE RD NW
SUITE 110
NEW BRIGHTON MN, 55112-1786, US
Phone (651) 628-9253
Fax (651) 631-8789
Business Location
1900 SILVER LAKE RD NW
SUITE 110
NEW BRIGHTON MN, 55112-1786, US
Phone (651) 628-9253
Fax (651) 631-8789
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 15072
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According to our database, Erica Christine Gwillim MSW, LICSW NPI is 1093737736, taxonomy code is 1041C0700X and license number is 15072, license state is located at Minnesota. Erica Christine Gwillim MSW, LICSW physically located at 1900 Silver Lake Rd Nw, New Brighton MN, 55112-1786. NPI Number Erica Christine Gwillim MSW, LICSW has the Individual type.

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1093737736 NPI number is provided on an as is basis without warranty of any kind. 1093737736 is maintained by the National Plan & Provider Enumeration System. The contents of Erica Christine Gwillim MSW, LICSW are for informational purposes only.