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Individual

ANTHONY MIKULSKIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
(270) 443-9692
Mailing address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
(270) 443-9692

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
Primary
LCSW00001319
KY

Other

Enumeration date
03/19/2024
Last updated
01/16/2026
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