Individual
MR. JONATHAN DANIEL MIKULAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.S.W.
Contact information
Practice address
3063 FREEPORT RD, SUITE B, NATRONA HEIGHTS, PA 15065-1967
(724) 766-9238
(724) 226-0931
Mailing address
6134 HALLWOOD DR, VERONA, PA 15147-2523
(412) 996-6818
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126542
PA
Other
Enumeration date
03/06/2011
Last updated
03/06/2011
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