Individual
DANIELLE MICKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WESTHALL LN STE 118, MAITLAND, FL 32751-7451
(855) 284-7483
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20439
FL
Other
Enumeration date
04/24/2023
Last updated
09/27/2023
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