Individual
KRISTIN GILDSETH ERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LGSW
Contact information
Practice address
624 13TH ST S, RANGE MENTAL HEALTHCENTER, VIRGINIA, MN 55792-3149
(218) 749-2881
(218) 749-3806
Mailing address
PO BOX 1188, VIRGINIA, MN 55792-1188
(218) 749-2881
(218) 749-3806
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LGSW10854
MN
1041C0700X
Clinical Social Worker
Primary
10854
MN
Other
Enumeration date
02/03/2010
Last updated
12/04/2014
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