| Paul Mikels Lmsw Llc | |
|
986 S. Telegraph Rd Monroe MI 48161 | |
| (419) 250-0169 | |
| (734) 848-2040 |
| Full Name | Paul Mikels Lmsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 986 S. Telegraph Rd, Monroe, Michigan |
| Authorized Official Name and Position | Paul W. Mikels (SOLE PROPRIETOR) |
| Authorized Official Contact | 4192500169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Mikels Lmsw Llc 10860 Victory Rd Erie MI 48133-9755 Ph: (419) 250-0169 | Paul Mikels Lmsw Llc 986 S. Telegraph Rd Monroe MI 48161 Ph: (419) 250-0169 |
| NPI Number | 1811256274 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811256274 | NPI | - | NPPES |
| P00762120 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801061152 (Michigan) | Primary |
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