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1689071862
KELLY WICKS
MINNEAPOLIS, MN
NPI
1689071862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN LP5806)
Enumeration Date
2014-12-03
Last Update Date
2016-10-13
Business Address
-- KELLY WICKS Psy.D., LP
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405-1430
Phone number: 612-871-1454
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Mailing Address
-- KELLY WICKS Psy.D., LP
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405-1430
Phone number: 612-871-1454
Copy
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