Provider Demographics
NPI:1891456703
Name:RAWLS, ABBI ELIZABETH (LSW)
Entity Type:Individual
Prefix:
First Name:ABBI
Middle Name:ELIZABETH
Last Name:RAWLS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 WINNETKA AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1446
Mailing Address - Country:US
Mailing Address - Phone:952-426-8895
Mailing Address - Fax:
Practice Address - Street 1:843 WINNETKA AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55426-1446
Practice Address - Country:US
Practice Address - Phone:952-426-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN27716104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker