Organization
MIKHAELA CREEKMORE LLC
Active
Other names
Mikhaela Creekmore LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAELA CREEKMORE LCSW (CEO)
(608) 201-0591
Entity
Organization
Contact information
Practice address
4539 WOODGATE DR STE A8, JANESVILLE, WI 53546-8205
(608) 201-0591
Mailing address
4754 SUMPTER DR, MILTON, WI 53563-8417
(608) 201-0591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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