Mikita, Abby Rose

Mikita, Abby Rose is an individual health care provider with primary practice located at 6654 E Fawn Ave , White Cloud MI 49349-9326. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mikita, Abby Rose can be contacted via phone (616) 414-1068.

Contact Information

Primary practice address
6654 E Fawn Ave White Cloud MI 49349-9326
Phone: (616) 414-1068
Fax: (616) 591-5723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6802090070 Michigan

Profile Details

NPI number 1205490695
LBN Legal business name Mikita, Abby Rose
Credentials LLBSW, QIDP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2019
Last updated Sep 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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