Whalio Doctors

NPI 1093737736

Erica Christine Gwillim, MSWLICSW

Practitioner Clinical Social Worker New Brighton, MN

Practice location

Address
1900 Silver Lake Rd NW Suite 110, New Brighton, MN 55112-1786
Phone
(651) 628-9253
Fax
(651) 631-8789

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 15072 (MN)

Registry record

NPI
1093737736
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jul 2006
Record last updated
8 Jul 2007

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.