Individual
COLETTE MICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 GRAHAM RD STE 101, CUYAHOGA FALLS, OH 44221-1051
(330) 928-0044
Mailing address
650 GRAHAM RD STE 101, CUYAHOGA FALLS, OH 44221-1051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0023957
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S0023957
—
OH
Enumeration date
02/19/2019
Last updated
02/19/2019
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