Individual
ANN P GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LICSW
Contact information
Practice address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
(612) 822-8227
(612) 825-4204
Mailing address
3548 BRYANT AVE S, MINNEAPOLIS, MINNEAPOLIS, MN 55408-4119
(612) 822-8227
(612) 825-4204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12884
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106658700
—
MN
Enumeration date
08/02/2005
Last updated
07/08/2007
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