EBONY GUMS

MINNEAPOLIS, MN
NPI1841800315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  22523)
Enumeration Date2020-08-08
Last Update Date2020-08-08
Business Address
EBONY GUMS LICSW
6111 NICOLLET AVE
MINNEAPOLIS, MN 55419-2560
Phone number: 612-323-1040
Mailing Address
EBONY GUMS LICSW
515 BEECH ST
WATERLOO, IA 50703-3317
Phone number:
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