Individual
MOLLIE GABRYS-LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1934 HENNEPIN AVE STE 201, MINNEAPOLIS, MN 55403-4035
(605) 212-2542
Mailing address
1934 HENNEPIN AVE STE 201, MINNEAPOLIS, MN 55403-4035
(605) 212-2542
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28645
MN
Other
Enumeration date
07/19/2015
Last updated
04/06/2020
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