NPI 1013408681

Tammy M Gagnon, MSWLICSW

Practitioner Clinical Social Worker Mankato, MN

Practice location

Address: 11 Civic Center Plz STE 1615, Mankato, MN 56001-7710
Phone: (507) 345-4679
Fax: (507) 345-8685
Mailing address: 11 Civic Center Plz STE 205, Mankato, MN 56001-7718

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 22386 (MN)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1013408681
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2018
Record last updated: 5 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.