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Ms. Mary Darlene Millicent, LICSW
Mental Health Counselor in Brainerd, Minnesota
NPI 1649547589

Mary Darlene Millicent is a Mental Health Counselor based in Rice, MN and is specialized in Mental Health. Mary Darlene Millicent practices in Brainerd, MN and has the professional credentials of LICSW. The NPI Number for Mary Darlene Millicent is 1649547589 and holds a License No. 16030 (Minnesota).

The current practice location address for Mary Darlene Millicent is 520 Nw 5Th St, Brainerd, MN and can be reached out via phone at 218-829-3235.

Location: 520 Nw 5Th St, Brainerd, MN, 56367-8857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649547589
Provider Name
Mary Darlene Millicent
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
520 Nw 5Th St, Brainerd, MN, 56367-8857
Phone Number
218-829-3235
Fax Number
Provider Enumeration Date
11/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000 01 NONE-PENDING
institution
Provider Business Practice Location Address Details
Address
520 Nw 5Th St
City
Brainerd
State
Minnesota
Zip
56401-2902
Phone Number
218-829-3235
Fax Number
person
Provider Business Mailing Address Details
Address
520 Nw 5Th St
City
Brainerd
State
Minnesota
Zip
56401-2902
Phone Number
218-829-3235
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
16030 (Minnesota)
Definition
Definition to come...
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