Individual
TAWANNA SHEREE MIKKOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7615 NAREMORE DR, SPRING, TX 77379-4663
(832) 329-0285
Mailing address
7615 NAREMORE DR, SPRING, TX 77379-4663
(832) 329-0285
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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