Individual
DARRELL ULYSSES GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MDIV, LGSW
Contact information
Practice address
4050 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN 55422-5323
(763) 522-0100
Mailing address
2307 IRVING AVE N, MINNEAPOLIS, MN 55411-1918
(612) 521-9682
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24145
MN
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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