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Individual
VALERIE MICOL
Active
Individual
VALERIE MICOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301019454
MI
390200000X
Student in an Organized Health Care Education/Training Program
6301017603
MI
Other
Enumeration date
06/26/2019
Last updated
08/19/2024
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