| Holly Michelle Mickelson, | |
|
290 W 800 S, Roosevelt, UT 84066 | |
| (435) 725-6300 | |
| (435) 725-6325 |
| Full Name | Holly Michelle Mickelson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 290 W 800 S, Roosevelt, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407735277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | STUDENT (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Michelle Mickelson, 1140 W 500 S Ste 9, Vernal, UT 84078-2912 Ph: (435) 725-6300 | Holly Michelle Mickelson, 290 W 800 S, Roosevelt, UT 84066 Ph: (435) 725-6300 |
Theresa J Ingram, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Jessica Jean Tibbitts, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 244 W Highway 40, Roosevelt, UT 84066 Phone: 435-401-3001 Fax: 801-375-4241 | |
Karin G Douthit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Suzanne Maddocks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Pamala Kay Draper, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Kayla Elaine Taylor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 |