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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. GRETCHEN SUZANNE KIRVIDA, LICSW

Active

MRS. GRETCHEN SUZANNE KIRVIDA, LICSW is a Clinical Social Worker healthcare provider located in CENTERVILLE, Minnesota. NPI 1215097928 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CENTERVILLE, MN

Registration Details

NPI Number
1215097928
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2006 (19.490677570708 yrs)
Last Updated
Aug 3, 2020
License
3068 (MN)

Practice Information

Address
7039 20TH AVE
CENTERVILLE, MN, 550389737
Browse MN providers · Browse ZIP 55038
Phone
6512880332
Fax
6512880493
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CENTERVILLE, MN

Name Credential NPI
JOANNE SUSAN KURZMANN MSW, LICSW 1316210255
KIRSTEN CHRISTENSON MSW, LICSW 1972954295
JOLENE MARIE METCALF LICSW 1295499192
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.