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Individual

ERICA E MICELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2935 UNIVERSAL CT STE 2, OSHKOSH, WI 54904-6324
(844) 697-8766
(920) 416-8581
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
132445
WI
1041C0700X
Clinical Social Worker
Primary
11232
WI

Other

Enumeration date
09/22/2021
Last updated
02/18/2025
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