Individual
CATHERINE DIANA MILLIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14663 MERCANTILE DR N, HUGO, MN 55038-4559
(612) 405-3156
Mailing address
14663 MERCANTILE DR N, HUGO, MN 55038-4559
(612) 405-3156
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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