Millicent, Mary Darlene

Millicent, Mary Darlene is an individual health care provider with primary practice located at 520 Nw 5Th St , Brainerd MN 56401-2902. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Millicent, Mary Darlene can be contacted via phone (218) 829-3235.

Contact Information

Primary practice address
520 Nw 5Th St Brainerd MN 56401-2902
Phone: (218) 829-3235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16030 Minnesota

Profile Details

NPI number 1649547589
LBN Legal business name Millicent, Mary Darlene
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2011
Last updated Nov 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649547589 NPPES
Other 00000000 NONE-PENDING

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