Individual
MRS. WHITNEY MICHELLE MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2620 COMMERCIAL WAY, SUITE 120, ROCK SPRINGS, WY 82901-4671
(307) 922-8543
Mailing address
200 CORSO ASSISI, ROCK SPRINGS, WY 82901-6886
(307) 389-9611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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