Individual
MISS JULIA ELIZABETH DAVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(815) 978-6514
(218) 454-1024
Mailing address
PO BOX 367, LITTLE FALLS, MN 56345-0367
(320) 632-6647
(320) 639-0014
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02139
MN
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/31/2012
Last updated
10/30/2019
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