Individual
MONIKA MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E WATERTOWER ST, MERIDIAN, ID 83642-6282
(208) 914-2230
Mailing address
99 N CANYON ST, NAMPA, ID 83651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-31791
ID
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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