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1588445472
TAISA TATIANA CARVALHO MICK
HAYS, KS
NPI
1588445472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: KS LMLP03265)
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
TAISA TATIANA CARVALHO MICK LMLP
208 E 8TH ST STE D
HAYS, KS 67601-4748
Phone number: 785-260-0924
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Mailing Address
TAISA TATIANA CARVALHO MICK LMLP
2200 MAIN ST APT A
HAYS, KS 67601-2970
Phone number:
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