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Organization
MICHELE T MIKESELL LCSW
Active
Organization
MICHELE T MIKESELL LCSW
Active
Other names
Princess Anne Psychological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JULIEANN BEST (CONSULTANT)
(757) 427-5987
Entity
Organization
Contact information
Practice address
2377 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456-3535
(757) 427-5987
(757) 563-0887
Mailing address
2377 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456-3535
(757) 427-5987
(757) 563-0887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000182
VA
1041C0700X
Clinical Social Worker
0904001693
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008928771
—
VA
05
—
008930511
—
VA
Enumeration date
11/14/2006
Last updated
05/26/2011
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