| Doctor Name: | WILLIE JEAN LOVE-WINTER |
| NPI Number: | 1023131752 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSSW, LICSW, LMFT |
| License Number: | LICSW #5348 |
| Business Practice Address: | 6136 Kalen Ct Woodbury, MN - 551299577 |
| Business Phone Number: | 6514590443 |
| Business Fax Number: | 6514594510 |
| Mailing Address: | 6136 Kalen Ct, WOODBURY |
| State: | MN |
| Postal Code: | 551299577 |
| Phone Number: | 6514590443 |
| Fax Number: | 6514594510 |
| NPI Enumeration Date: | 04/09/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LICSW #5348 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |