Individual
MS. LUCY J MIKULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
530 7TH ST SE, WASHINGTON, DC 20003
(202) 543-4645
(202) 543-4476
Mailing address
7304 MAPLE AVE, TAKOMA PARK, MD 20912
(301) 270-0183
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LC302628
DC
103T00000X
Psychologist
MD08705
MD
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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