Individual
RENEE MIKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
255 S 17TH ST STE 2100, PHILADELPHIA, PA 19103-6211
(215) 545-1175
Mailing address
1012 S 12TH ST APT 2, PHILADELPHIA, PA 19147-3629
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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