Individual
MISS GAYLE MAUREEN VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LSC
Contact information
Practice address
2240 RIDGE DR, #14, ST LOUIS PARK, MN 55416-5627
(612) 720-3614
Mailing address
2240 RIDGE DR, #14, ST LOUIS PARK, MN 55416-5627
(612) 720-3614
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
404390
MN
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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