Provider Information for 1306413505
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Mrs. CADIE ALISE MILLARD MA, LPCC, NCC
Other Names:Former Name:CADIE ALISE ENGELKINGSex: Female
NPI: 1306413505
Last Updated: 2022-02-24
Certification Date: 2022-02-24
Certification Date: 2022-02-24
Details
| Name | Value | ||||||||||||
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| NPI | 1306413505 | ||||||||||||
| Enumeration Date | 2021-06-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3815 15TH AVE NW ROCHESTER, MN 55901-1381 United States Phone: 612-408-1088 | Fax: | ||||||||||||
| Primary Practice Address | 602 11TH AVE NW STE 300 ROCHESTER, MN 55901-2297 United States Phone: 507-292-1379 | Fax:651-383-4929 | ||||||||||||
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