MR. Albert Mickens JR., BS

NPI #1033612908 in Brandon, Florida

Provider Information

NPI Number: 1033612908
Entity Type: Individual
Name: MR. Albert Mickens JR., BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: BS
Enumeration Date: Mar 16, 2018
Last Updated: Mar 16, 2018

Practice Location

Address: 209 LITHIA PINECREST RD
City: Brandon
State: Florida
ZIP Code: 33511-5307
Phone: (813) 370-8005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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