MS. Katelyn Mariah, M.A, LICSW
NPI #1063579936 in Brooklyn Park, Minnesota
Provider Information
- NPI Number
- 1063579936
- Entity Type
- Individual
- Name
- MS. Katelyn Mariah, M.A, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- M.A, LICSW
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7600 BOONE AVE N
- City
- Brooklyn Park
- State
- Minnesota
- ZIP Code
- 55428-4563
- Phone
- (763) 515-2452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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