JACKIE LYN MICKLEWRIGHT

SAINT PAUL, MN
NPI1669705638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  LP5324)
Enumeration Date2009-09-09
Last Update Date2019-10-15
Business Address
JACKIE LYN MICKLEWRIGHT PhD
280 SMITH AVE N STE 220
SAINT PAUL, MN 55102-2459
Phone number: 651-241-8295
Mailing Address
JACKIE LYN MICKLEWRIGHT PhD
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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