Mika Jo Wilson-Everest, LBSW

NPI #1144757220 in Gaylord, Michigan

Provider Information

NPI Number: 1144757220
Entity Type: Individual
Name: Mika Jo Wilson-Everest, LBSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LBSW
Enumeration Date: May 19, 2017
Last Updated: May 19, 2017

Practice Location

Address: 405 W MAIN ST
City: Gaylord
State: Michigan
ZIP Code: 49735-1859
Phone: (989) 732-6448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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