Individual
CHRISTINA KAY MICALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Mailing address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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