KATIE MARIE LICK

ST LOUIS PARK, MN
NPI1326221607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MN  2650)
Enumeration Date2007-12-10
Last Update Date2011-01-10
Business Address
MRS. KATIE MARIE LICK R.D., L.D.
3525 MONTEREY DR
ST LOUIS PARK, MN 55416-5275
Phone number: 952-993-5161
Mailing Address
MRS. KATIE MARIE LICK R.D., L.D.
3525 MONTEREY DR
ST LOUIS PARK, MN 55416-5275
Phone number: 952-993-5161