Basic Information
Provider Information
NPI: 1316274475
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMSEY
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LGSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1401 E 1ST ST
Address2:  
City: DULUTH
State: MN
PostalCode: 558052407
CountryCode: US
TelephoneNumber: 2187284491
FaxNumber: 2187284404
Practice Location
Address1: 40 11TH ST
Address2:  
City: CLOQUET
State: MN
PostalCode: 557201817
CountryCode: US
TelephoneNumber: 2188794559
FaxNumber: 2188790282
Other Information
ProviderEnumerationDate: 11/11/2009
LastUpdateDate: 11/11/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X  Y Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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