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Individual
MR. MICKEY DINER STEIN
Active
Individual
MR. MICKEY DINER STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP7103
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
07/30/2026
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