Individual
MR. GEORGE HAROLD MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
877 WILLOWDALE RD, MORGANTOWN, WV 26505-7311
(681) 209-7755
Mailing address
877 WILLOWDALE RD, MORGANTOWN, WV 26505-7311
(831) 277-8143
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1215
WV
Other
Enumeration date
12/07/2009
Last updated
07/21/2022
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