Individual
JESSICA MICHAELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W 23RD ST BLDG E40, PANAMA CITY, FL 32405-3936
(850) 747-5411
(850) 747-5583
Mailing address
700 W 23RD ST BLDG E40, PANAMA CITY, FL 32405-3936
(850) 747-5411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
01/08/2020
Last updated
02/25/2021
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