Individual
MICHELLE MICHALKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
274 GREEN MOUNTAIN RD, MANCHESTER CENTER, VT 05255-9560
(802) 558-9433
Mailing address
107 COLONIAL DR, NEW HARTFORD, NY 13413-2106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890134158
VT
1041C0700X
Clinical Social Worker
R058049-1
NY
Other
Enumeration date
03/30/2007
Last updated
11/24/2020
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