Individual
SUMMER LYN MIKKELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6800 MCNEIL DR APT 321, AUSTIN, TX 78729-7941
(801) 867-1699
Mailing address
6800 MCNEIL DR APT 321, AUSTIN, TX 78729-7941
(801) 867-1699
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113573
TX
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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