Individual
KRISTYN SANDRA STICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 W 50TH ST STE 250B, MINNEAPOLIS, MN 55410-2070
(612) 400-9685
Mailing address
1456 LAGOON AVE APT 306, MINNEAPOLIS, MN 55408-1950
(484) 612-2426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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