Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWEN MARIE MILLAM, LICSW
Active Sole ProprietorGWEN MARIE MILLAM, LICSW is a Clinical Social Worker healthcare provider located in MINNETONKA, Minnesota. NPI 1518162254 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MINNETONKA, MN
Registration Details
- NPI Number
- 1518162254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2007 (19.136907511405 yrs)
- Last Updated
- Jul 8, 2007
- License
-
16697 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11812 WAYZATA BLVDSUITE 212MINNETONKA, MN, 553052012Browse MN providers · Browse ZIP 55305
- Phone
- 6122515795
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MINNETONKA, MN
| Name | Credential | NPI |
|---|---|---|
| JOAN W. LALLY | LICSW | 1477531424 |
| MS. JENNIFER MARY GISH | LICSW | 1922054949 |
| MRS. SARAH BARRETT | LICSW | 1700816279 |
| LISA M BRENNOM | LICSW | 1437179611 |
| BRADFORD B BENSON | LISCW | 1023030442 |
| MS. LYNDRA HEARN ANTONSON | LICSW | 1881603066 |
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.