Individual
MRS. MIRIAM GONZALEZ ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
2401 123RD CIR NW, COON RAPIDS, MN 55448-7096
(763) 755-6470
Mailing address
2401 123RD CIR NW, COON RAPIDS, MN 55448-7096
(763) 755-6470
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17958
MN
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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