Xochitl Gaytan LICSW

NPI 1285045336 - Social Worker - 1041C0700X

NPI Details
NPI 1285045336
Gender Female
Enumeration Date 05/12/2014
Last Updated 06/22/2016
Entity Type Individual
Active Over 2 years ago
Practice Location
3800 PARK NICOLLET BLVD
SUITE 3N
SAINT LOUIS PARK MN, 55416-2527, US
Phone (952) 993-3307
Fax
Business Location
3800 PARK NICOLLET BLVD
SUITE 3N
SAINT LOUIS PARK MN, 55416-2527, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 21226
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According to our database, Xochitl Gaytan LICSW NPI is 1285045336, taxonomy code is 1041C0700X and license number is 21226, license state is located at Minnesota. Xochitl Gaytan LICSW physically located at 3800 Park Nicollet Blvd, Saint Louis Park MN, 55416-2527. NPI Number Xochitl Gaytan LICSW has the Individual type.

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1285045336 NPI number is provided on an as is basis without warranty of any kind. 1285045336 is maintained by the National Plan & Provider Enumeration System. The contents of Xochitl Gaytan LICSW are for informational purposes only.