Individual
EKATERINA ANDREA ILIN-GRUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3123
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30525
MN
1041C0700X
Clinical Social Worker
69046
TX
Other
Enumeration date
11/01/2022
Last updated
06/27/2025
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