Organization
DAVID G. MIKKOLA PC
Active
Other names
David g. Mikkola LMSW PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GEORGE MIKKOLA LMSW (PRESIDENT)
(248) 644-3200
Entity
Organization
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 402, BINGHAM FARMS, MI 48025-4502
(248) 644-3200
(248) 644-3211
Mailing address
30200 TELEGRAPH RD, SUITE 402, BINGHAM FARMS, MI 48025-4502
(248) 644-3200
(248) 644-3211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
680103141
MI
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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