Individual
ELIZABETH GAMBLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
8401 WAYZATA BLVD STE 370, GOLDEN VALLEY, MN 55426-1379
(763) 544-1006
(763) 544-1008
Mailing address
5108 VINCENT AVE S, MINNEAPOLIS, MN 55410-2249
(612) 889-5250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15897
MN
Other
Enumeration date
03/19/2007
Last updated
07/09/2007
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