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Mikaela Licht

NPI 1427603026 · on the registry since 2019 · sole proprietor

Practice

Address
4310 Cedar Ridge Pl. Apt #5
Rapid City, SD 57702
Phone
(605) 545-2594

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Sex
Female
Record last updated
2019-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota