Individual
MRS. ANGIE GWIAZDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
2809 WAYZATA BLVD, MINNEAPOLIS, MN 55405-2131
(612) 377-9190
(612) 374-4498
Mailing address
457 NEWTON AVE S, MINNEAPOLIS, MN 55405-2042
(612) 377-9190
(612) 374-4498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1211
MN
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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