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Sarallyn Marie Gumke, MSW, LGSW

Social Worker in Coon Rapids, MN. Individual provider (NPI-1).

NPI number1417632001
StatusActive
Last updated in NPPESJun 20, 2023

Details

NPI
1417632001
Entity type
Individual (NPI-1)
Name
Sarallyn Marie Gumke
Credential
MSW, LGSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 20, 2023
Certification date
Jun 20, 2023
Last updated
Jun 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker32196MNYes

Practice location

299 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-5832

Phone 763-732-9851

Mailing address

299 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-5832

Phone 763-732-9851

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