Individual
GERALD LILJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1404 E SUPERIOR E 1ST, DULUTH, MN 55805-2407
(218) 730-2344
Mailing address
1404 E SUPERIOR E 1ST, DULUTH, MN 55805-2407
(218) 730-2344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04936
MN
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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