Individual
CAROL ELAINE WILLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
300 S 6TH ST, A1600, MINNEAPOLIS, MN 55487-0160
(612) 348-2209
Mailing address
300 S 6TH ST, A1600, MINNEAPOLIS, MN 55487-0160
(612) 348-2209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11928
MN
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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