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Individual

EMILY ANN MIKUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
13975 MANCHESTER RD STE 3, BALLWIN, MO 63011-4500
(314) 329-4326
Mailing address
166 SAMARRA ESTATES DR APT B, FENTON, MO 63026-6595

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
202521104
MO

Other

Enumeration date
09/18/2025
Last updated
09/18/2025
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