Individual
BRIAN PATRICK MIKLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.S.W.
Contact information
Practice address
257 S MAIN ST STE 2, ONSTED, MI 49265-9682
(517) 225-4668
Mailing address
408 JIPSON ST, BLISSFIELD, MI 49228-1349
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801094057
MI
1041C0700X
Clinical Social Worker
I.1101150-SUPV
OH
Other
Enumeration date
10/20/2012
Last updated
11/05/2020
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