MRS. Kelsey Jean Mickelson

NPI #1902403140 in Rock Island, Illinois

Provider Information

NPI Number: 1902403140
Entity Type: Individual
Name: MRS. Kelsey Jean Mickelson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 1, 2020
Last Updated: Oct 1, 2020

Practice Location

Address: 2701 17TH ST
City: Rock Island
State: Illinois
ZIP Code: 61201-5351
Phone: (309) 779-2031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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