Individual
KATHERINE ANN NULICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(612) 223-8898
Mailing address
310 CLIFTON AVE, MINNEAPOLIS, MN 55403-3218
(630) 809-6262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29016
MN
Other
Enumeration date
07/03/2021
Last updated
04/14/2023
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