Individual
MICHIAELA LEE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
603 MAIN ST, WILLISTON, ND 58801-5467
(701) 774-0749
Mailing address
4615 11TH AVE W APT 110, WILLISTON, ND 58801-5272
(701) 578-8544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5882
ND
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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