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Individual

MISS MIKAYLA ELIZABETH MILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
615 N 18TH ST STE 101, LAFAYETTE, IN 47904-3413
(765) 423-5361
Mailing address
8748 N 90 E, BURROWS, IN 46916
(765) 421-2780

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
221700000X
Art Therapist
IN

Other

Enumeration date
07/12/2021
Last updated
08/21/2024
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