GARY GOOLSBEE, LICSW

Social Worker - Clinical

Active Individual
NPI: 1619990793

Practice Address

121 11TH AVE SE
Forest Lake, MN 55025

Phone: (651) 251-5220

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 00593 (MN)

Frequently Asked Questions

NPI 1619990793 is the National Provider Identifier for GARY GOOLSBEE, LICSW, a Social Worker - Clinical provider located in Forest Lake, MN. This NPI was enumerated on July 26, 2006.
GARY GOOLSBEE, LICSW practices at 121 11TH AVE SE, Forest Lake, MN 55025.

Quick Facts

NPI
1619990793
Type
Individual
Enumerated
Jul 26, 2006
Last Updated
Jul 8, 2007

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