Individual
MR. GARY LEE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, LCSW
Contact information
Practice address
15-2660 PAHOA VILLAGE RD STE 203-521, PAHOA, HI 96778-6720
(612) 816-8434
Mailing address
14323 GOLF VIEW DR, EDEN PRAIRIE, MN 55346-3004
(612) 816-8434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18626
MN
1041C0700X
Clinical Social Worker
Primary
LCSW-4842
HI
Other
Enumeration date
02/08/2007
Last updated
08/02/2023
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