Abby Rose Mikita, LLBSW, QIDP

NPI #1205490695 in White Cloud, Michigan

Provider Information

NPI Number: 1205490695
Entity Type: Individual
Name: Abby Rose Mikita, LLBSW, QIDP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LLBSW, QIDP
Enumeration Date: May 1, 2019
Last Updated: Sep 30, 2019

Practice Location

Address: 6654 E FAWN AVE
City: White Cloud
State: Michigan
ZIP Code: 49349-9326
Phone: (616) 414-1068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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