Individual
CHRISTINA JO MINICH
Active
Individual
CHRISTINA JO MINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
000121472
MA
1041C0700X
Clinical Social Worker
Primary
09927237
CO
Other
Enumeration date
01/13/2020
Last updated
06/15/2022
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