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Individual
TIMOTHY MINAROVIC
Active
Individual
TIMOTHY MINAROVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., BSL
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH001699
PA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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