Individual
MS. JOYCE LYNN MICON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW, CADACII
Contact information
Practice address
601 STADIUM MALL DR, WEST LAFAYETTE BRA, IN 47907-2052
(765) 494-6995
Mailing address
6806 N ARMSTRONG CHAPEL RD, WEST LAFAYETTE BRA, IN 47906-8006
(765) 583-4300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000976A
IN
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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