Sara Jean Micklewright

NPI #1033948179 in Hermantown, Minnesota

Provider Information

NPI Number: 1033948179
Entity Type: Individual
Name: Sara Jean Micklewright
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 29, 2024
Last Updated: Jul 29, 2024

Practice Location

Address: 4140 RICHARD AVE
City: Hermantown
State: Minnesota
ZIP Code: 55811-2869
Phone: (218) 520-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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