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Individual

CASSIDY CHRISTINE GILMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
12720 BASS LAKE RD, MAPLE GROVE, MN 55369-6307
(763) 278-0832
Mailing address
700 RUCKS FARM RD, DELANO, MN 55328-8733

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27887
MN

Other

Enumeration date
10/20/2023
Last updated
11/27/2024
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