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Jim Gaylord, LICSW

NPI 1568999308 · on the registry since 2017 · sole proprietor

Practice

Address
6208 E Superior St
Duluth, MN 55804
Phone
(218) 343-9401

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-11

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