Individual
GAIL A DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCSW, LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2592-123
WI
106H00000X
Marriage & Family Therapist
18-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13G80DI
BCBS-MN
MN
05
—
165221400
—
MN
05
—
39243200
—
WI
01
—
HP66197
HEALTHPARTNERS
MN
Enumeration date
12/06/2006
Last updated
08/30/2011
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