Individual
DISA RUIZ MIKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14211 MCMULLEN HWY SW, CRESAPTOWN, MD 21502-5671
(301) 729-6486
Mailing address
14211 MCMULLEN HWY SW, CUMBERLAND, MD 21502-5671
(301) 724-6486
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MD
103TS0200X
School Psychologist
—
—
Other
Enumeration date
10/22/2007
Last updated
09/30/2024
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