Individual
GWENDOLYN JANE HERMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW, LADC
Contact information
Practice address
1112 7TH ST NW, ROCHESTER, MN 55901-1732
(507) 289-2089
Mailing address
1112 7TH ST NW, ROCHESTER, MN 55901-1732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
307063
MN
1041C0700X
Clinical Social Worker
Primary
33644
MN
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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