Individual
DR. MIKIELA DANIELLE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10522 S CICERO AVE STE 401, OAK LAWN, IL 60453-5288
(708) 406-9641
Mailing address
435 SHERWOOD RD APT 3, LA GRANGE PARK, IL 60526-2101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009760
IL
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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