Individual
KAREN CLARK MIKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1945 PAULINE BLVD, SUITE 21-B, ANN ARBOR, MI 48103-5047
(734) 761-7247
Mailing address
1945 PAULINE BLVD, SUITE 21-B, ANN ARBOR, MI 48103-5047
(734) 761-7247
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005649
MI
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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