Individual
MACEY CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
7400 LYNDALE AVE S STE 180, RICHFIELD, MN 55423-4142
(651) 504-4297
Mailing address
7239 FALMOUTH CURV, SHAKOPEE, MN 55379-7044
(507) 404-0260
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
25201
MN
Other
Enumeration date
11/01/2017
Last updated
04/14/2023
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