Individual
CARLY LYNN CICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 LEXINGTON AVE N, ARDEN HILLS, MN 55126-6164
(952) 746-5350
Mailing address
1509 SOUTHCROSS DR W, BURNSVILLE, MN 55306-6945
(952) 491-9810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
01/14/2025
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