Individual
CIANA MICKOLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2233 N COMMERCE PKWY STE 1, WESTON, FL 33326-3252
(954) 217-1757
Mailing address
2233 N COMMERCE PKWY STE 1, WESTON, FL 33326-3252
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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