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Individual

ELIZABETH MIKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.,LCPC

Contact information

Practice address
1662 VINEYARD DR., GURNEE, IL 60031
(847) 543-9550
Mailing address
1662 VINEYARD DR., GURNEE, IL 60031

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
IL

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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