Individual
MRS. LANI MARIE GOMEZ PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3633
(612) 386-3459
Mailing address
1215 LILAC LN, EXCELSIOR, MN 55331-9053
(612) 718-5075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28715
MN
Other
Enumeration date
08/07/2012
Last updated
01/03/2023
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