Individual
PAIGE MICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2008 LENNON ST, GROSSE POINTE WOODS, MI 48236-1617
(313) 820-9735
Mailing address
2008 LENNON ST, GROSSE POINTE WOODS, MI 48236-1617
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704349086
MI
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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