Individual
GARY M FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
506 W 5TH ST, WINONA, MN 55987
(507) 454-3880
(507) 474-0383
Mailing address
PO BOX 323, WINONA, MN 55987-0323
(507) 454-3880
(507) 474-0383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7343
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30480FL
BCBS ID#
MN
Enumeration date
12/06/2006
Last updated
07/08/2007
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