Individual
JENNIFER MICHALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 TAMIAMI TRL S, VENICE, FL 34285-2927
(941) 275-9183
Mailing address
505 TAMIAMI TRL S, VENICE, FL 34285-2927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1904332
OH
Other
Enumeration date
08/05/2020
Last updated
01/19/2022
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