-- NANCY AVILA -- LICSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1982055778- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LICSW
- Status
- Active
Contact & Location
- Address
- 6900 78TH AVE N, BROOKLYN PARK, MN, 554452719
- Phone
- (763) 569-2638
- Fax
- (612) 728-2095
Specialties & Taxonomies
Social Worker, Clinical
Primary License: MN #20140