Individual
BRIANNA MIKKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 N 5TH AVE., HILL CITY, KS 67642
(720) 692-1028
Mailing address
424 N 5TH AVE, HILL CITY, KS 67642-1618
(720) 692-1028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KS
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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