Individual
KARIN IRENE MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 SOUTHWICK RD, SOMERDALE, NJ 08083-2314
(855) 832-6726
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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