Individual
DEANA MIKOLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
227 MCKINLEY AVE, EVELETH, MN 55734-1606
(925) 303-5138
Mailing address
3902 W LONG LAKE RD, EVELETH, MN 55734-4130
(925) 303-5138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27049
MN
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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