Individual
GRACE MOMIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 314-6571
Mailing address
3142 CLEVELAND ST NE, MINNEAPOLIS, MN 55418-2330
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1018406
MN
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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