Individual
MR. GARY MICHAEL SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LICSW
Contact information
Practice address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Mailing address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7579
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064757800
—
MN
01
—
110608C851
UCARE
—
01
—
6243215
MEDICA
—
01
—
68160SI
BCBS
—
01
—
922241022571
PREFERRED ONE
—
01
—
HP25380
HEALTH PARTNERS
—
Enumeration date
06/12/2006
Last updated
01/27/2010
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