Individual
MICAH MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
105 JOHNSON ST NE, SUITE 201, ELKADER, IA 52043
(563) 929-3595
(877) 728-2951
Mailing address
213 E MAIN ST, ANAMOSA, IA 52205-5701
(319) 224-0722
(877) 728-2951
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107581
IA
Other
Enumeration date
04/10/2024
Last updated
06/25/2024
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