Individual
ERICA MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 S UNION ST, PLYMOUTH, MI 48170-1612
(734) 531-8563
Mailing address
37725 LAKEWOOD CIR APT 201, WESTLAND, MI 48185-5761
(248) 497-1445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
01/12/2024
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