Search › Minnesota › 104100000X
Victoria Gagnon, LICSW
NPI 1558954321 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3800 Park Nicollet Blvd
St Louis Park, MN 55416 - Phone
- (952) 993-2498
- Fax
- (952) 993-2505
- Organisation at this address
- Group Health Inc
Park Nicollet Clinic
Park Nicollet ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 402
Additional practice sites
- 11505 36th Ave N, Plymouth, MN
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota