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Individual
DR. MICHAEL ALLEN BOTICKI
Active
Individual
DR. MICHAEL ALLEN BOTICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
40910900
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40910900
—
WI
Enumeration date
08/05/2006
Last updated
07/09/2007
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