Individual
DR. JANE MARIE VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
345 10TH AVE, GRANITE FALLS, MN 56241-1442
(320) 564-6200
Mailing address
345 10TH AVE, GRANITE FALLS, MN 56241-1442
(612) 564-6200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10537
NC
103T00000X
Psychologist
Primary
LP3973
MN
Other
Enumeration date
01/04/2007
Last updated
01/20/2019
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