Individual
ANN MIKULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 3RD ST, SUITE A101, BEAVER, PA 15009-2420
(724) 728-8400
Mailing address
105 MARY REED RD, SUITE A101, BADEN, PA 15005-9612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005705
PA
Other
Enumeration date
06/09/2008
Last updated
05/24/2021
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