Adam Mikelson, LICSW

NPI #1528450731 in St Louis Park, Minnesota

Provider Information

NPI Number: 1528450731
Entity Type: Individual
Name: Adam Mikelson, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Feb 25, 2015
Last Updated: Mar 17, 2018

Practice Location

Address: 3800 PARK NICOLLET BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55416-2527
Phone: (952) 993-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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