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1568999308
JIM GAYLORD
DULUTH, MN
NPI
1568999308
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Other Name
JAMES GAYLORD
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 19749)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
-- JIM GAYLORD LICSW
6208 E SUPERIOR ST
DULUTH, MN 55804-2542
Phone number: 218-343-9401
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Mailing Address
-- JIM GAYLORD LICSW
6208 E SUPERIOR ST
DULUTH, MN 55804-2542
Phone number: 218-343-9401
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