Individual
ALIYAH VICIA MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E WALNUT ST, INDIANAPOLIS, IN 46204-1312
(317) 226-4000
Mailing address
2625 N MERIDIAN ST APT 924, INDIANAPOLIS, IN 46208-7709
(304) 237-8068
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10229462
IN
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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