MICAH PRAIRIE CHICKEN

MINNEAPOLIS, MN
NPI1518640473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  LP6960)
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
Dr. MICAH PRAIRIE CHICKEN PhD, LP
2101 MINNEHAHA AVE
MINNEAPOLIS, MN 55404-3107
Phone number: 612-721-9877
Mailing Address
Dr. MICAH PRAIRIE CHICKEN PhD, LP
2101 MINNEHAHA AVE
MINNEAPOLIS, MN 55404-3107
Phone number:
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