Individual
MICKEY DEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
841 STEUBENVILLE AVE, CAMBRIDGE, OH 43725-2301
(855) 692-7247
(855) 692-7247
Mailing address
841 STEUBENVILLE AVE, CAMBRIDGE, OH 43725-2301
(855) 692-7247
(855) 692-7247
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.475422
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.475422
OH
Other
Enumeration date
05/04/2019
Last updated
06/24/2020
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