Individual
SARA GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
332 W SUPERIOR ST, 300, DULUTH, MN 55802-1808
(218) 722-4379
Mailing address
1900 SILVER LAKE RD NW, 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
303233
MN
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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