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Individual

BARBARA LUNDSTROM WILLCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, LMFT

Contact information

Practice address
1821 UNIVERSITY AVE W, SAINT PAUL, MN 55104-2801
(651) 644-8515
(651) 644-3451
Mailing address
1821 UNIVERSITY AVE W, SAINT PAUL, MN 55104-2801
(651) 644-8515
(651) 644-3451

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8714
MN
174400000X
Specialist
MARRIAGE&FAMILY#693
MN

Other

Enumeration date
11/06/2006
Last updated
08/14/2007
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