Millam, Gwen Marie
Millam, Gwen Marie is an sole proprietor health care provider with primary practice located at 11812 Wayzata Blvd Suite 212, Minnetonka MN 55305-2012. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Millam, Gwen Marie can be contacted via phone (612) 251-5795.Contact Information
Primary practice address
11812 Wayzata Blvd Suite 212
Minnetonka MN 55305-2012
Phone: (612) 251-5795
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 16697 | Minnesota |
Profile Details
| NPI number | 1518162254 |
|---|---|
| LBN Legal business name | Millam, Gwen Marie |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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