Individual
TRESSIE MICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6612 EAGLE CROSSING BLVD, BROWNSBURG, IN 46112-7420
(317) 557-0988
Mailing address
6612 EAGLE CROSSING BLVD, BROWNSBURG, IN 46112-7420
(317) 557-0988
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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