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Individual
MICHLEEN MOURICE MICHAEL MICKEL
Active
Individual
MICHLEEN MOURICE MICHAEL MICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW94721
CA
1041C0700X
Clinical Social Worker
Primary
117985
CA
1041C0700X
Clinical Social Worker
94721
CA
Other
Enumeration date
10/04/2017
Last updated
09/14/2023
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