Individual
ERIC MIKELAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
915 AIRPORT RD, JACKSON, MI 49202-1850
(517) 740-6239
(517) 740-6239
Mailing address
3008 S WOODDALE DR, JACKSON, MI 49203-3767
(517) 740-6239
(517) 740-6239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801034036
MI
1041C0700X
Clinical Social Worker
05842
MD
1041C0700X
Clinical Social Worker
6801034036
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134194467
—
MI
05
—
698800800
—
MD
Enumeration date
02/21/2006
Last updated
09/20/2013
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