Lillian Abby Mickevich

NPI #1902617491 in Ludington, Michigan

Provider Information

NPI Number: 1902617491
Entity Type: Individual
Name: Lillian Abby Mickevich
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 15, 2025
Last Updated: Jan 15, 2025

Practice Location

Address: 5757 W JOHNSON RD
City: Ludington
State: Michigan
ZIP Code: 49431-1516
Phone: (231) 239-1231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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