Nancy Avila, LICSW
Social Worker, Clinical in Brooklyn Park, MN. Individual provider (NPI-1).
NPI number1982055778
StatusActive
Last updated in NPPESJun 23, 2016
Details
- NPI
- 1982055778
- Entity type
- Individual (NPI-1)
- Name
- Nancy Avila
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2016
- Last updated
- Jun 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 20140 | MN | Yes |
Practice location
6900 78th Ave NBrooklyn Park, MN 55445-2719
Phone 763-569-2638 · Fax 612-728-2095
Mailing address
6900 78th Ave NBrooklyn Park, MN 55445-2719
Phone 763-569-2638 · Fax 612-728-2095
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