Individual
MIKAYLA DEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 MAIN ST STE 420, LAFAYETTE, IN 47901-1285
(219) 885-3441
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33012234A
IN
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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