Individual
AMANDA LYNNE MICKAVICZ SICKORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8155 JEFFERSON HWY APT 1104, BATON ROUGE, LA 70809-1618
(682) 970-7101
Mailing address
8155 JEFFERSON HWY APT 1104, BATON ROUGE, LA 70809-1618
(682) 970-7101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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