Individual
VICTORIA GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-2498
(952) 993-2505
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27606
MN
1041C0700X
Clinical Social Worker
27606
MN
Other
Enumeration date
02/12/2021
Last updated
08/09/2024
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