Individual
MS. LAURA J. MIKIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.C.
Contact information
Practice address
6301 INDUCON DR E, SANBORN, NY 14132-9014
(716) 731-3020
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-1800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00012176
NY
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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