Gwen Marie Millam in Minneapolis - Clinical

Gwen Marie Millam - NPI 1518162254

Gwen Marie Millam is a Clinical in Minneapolis, Minnesota. Gwen Marie Millam practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwen Marie Millam is 1518162254. The last update date is 2007-07-08.

Gwen Marie Millam's current location address is 3940 Drew Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6122515795. The mailing address for Gwen Marie Millam is 3940 Drew Ave S, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gwen Marie Millam
Address 3940 Drew Ave S, Minneapolis, Minnesota
Phone Number 6122515795
Fax Number
Sole Proprietor Y
Credentials LICSW

NPI Number Detail

NPI Number 1518162254
Provider Enumeration Date 2007-06-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3940 Drew Ave S
City Minneapolis
State Minnesota (MN)
Post Code 554101048
Phone Number 6122515795
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 16697
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Gwen Marie Millam

What is the unique 10-digit identifier code assigned to Gwen Marie Millam by the Centers for Medicare & Medicaid Services?

The Gwen Marie Millam has been issued the NPI (National Provider Identifier) 1518162254 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Gwen Marie Millam's facilities are geographically located?

The facilities of Gwen Marie Millam are physically situated at the following location: 3940 Drew Ave S, Minneapolis, MN, 554101048.

What is Gwen Marie Millam's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gwen Marie Millam's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

When did the Gwen Marie Millam receive its 1518162254?

The Gwen Marie Millam was issued its 1518162254 on 2007-06-20, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Gwen Marie Millam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gwen Marie Millam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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