Individual
GWENDOLYN MAE MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 ORLEANS ST E, STILLWATER, MN 55082-5830
(651) 351-3130
(651) 351-3155
Mailing address
375 ORLEANS ST E, STILLWATER, MN 55082-5830
(808) 738-7868
(651) 351-3155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306354
MN
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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