Individual
JONNA MICKSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1251 S CEDAR CREST BLVD STE 202A, ALLENTOWN, PA 18103-6214
(610) 402-5766
(610) 402-5763
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014383
PA
Other
Enumeration date
07/24/2006
Last updated
07/22/2024
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