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1588361174
REBECCA LOUISE NICKLAY
BLOOMINGTON, MN
NPI
1588361174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 15961)
Enumeration Date
2023-02-14
Last Update Date
2023-05-18
Business Address
REBECCA LOUISE NICKLAY LICSW
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425-1207
Phone number: 952-428-1899
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Mailing Address
REBECCA LOUISE NICKLAY LICSW
PO BOX 206
MINNEAPOLIS, MN 55480-0206
Phone number: 612-262-9000
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