| Doctor Name: | ELIZABETH ANN GARY |
| NPI Number: | 1609073659 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 50132 |
| Business Practice Address: | 4801 Veterans Drive St. Cloud, MN - 563032015 |
| Business Phone Number: | 3202521670 |
| Business Fax Number: | |
| Mailing Address: | 15 Summit Ave S, SAUK RAPIDS |
| State: | MN |
| Postal Code: | 563791913 |
| Phone Number: | 8174803741 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 11/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 50132 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |