Individual
JULIE LYNN GAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
450 SYNDICATE ST N, SUITE 5, SAINT PAUL, MN 55104-4107
(651) 603-5823
(651) 603-5990
Mailing address
2828 CONDIT ST, SAINT PAUL, MN 55117-1058
(651) 603-5823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16108
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66611730
—
MN
Enumeration date
12/12/2006
Last updated
07/09/2007
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