Individual
MRS. TAMMIE LYN KNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6620 60TH ST NE, SPICER, MN 56288-9635
(507) 276-4015
Mailing address
6620 60TH ST NE, SPICER, MN 56288-9635
(507) 276-4015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13770
MN
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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