Individual
MRS. MIKAYLA NICOLE VANHOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
888 OAKWOOD RD STE 300, CHARLESTON, WV 25314-2071
(681) 265-0999
Mailing address
1412 S 9TH ST, IRONTON, OH 45638-2151
(740) 861-4264
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00946581
WV
376J00000X
Homemaker
—
OH
Other
Enumeration date
07/06/2023
Last updated
05/01/2024
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