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Individual

MELISSA LEE GAWLIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
8120 PENN AVE S STE 270, BLOOMINGTON, MN 55431-1320
(800) 336-5973
Mailing address
8120 PENN AVE S STE 400, BLOOMINGTON, MN 55431-1311
(800) 336-5973

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1836
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1836
LMFT
MN
Enumeration date
04/07/2009
Last updated
11/16/2023
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