Individual
GAYLE SHANNON CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
317 YORK AVE, SAINT PAUL, MN 55130-4039
(651) 774-0011
(651) 774-0606
Mailing address
317 YORK AVE, SAINT PAUL, MN 55130-4039
(651) 774-0011
(651) 774-0606
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
10928
MN
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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