ERIC MIKELAIT

JACKSON, MI
NPI1134194467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MI  6801034036)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MD  05842)
1041C0700X Social Worker, Clinical
(Licence: MI  6801034036)
Enumeration Date2006-02-21
Last Update Date2013-09-20
Business Address
-- ERIC MIKELAIT LMSW
915 AIRPORT RD
JACKSON, MI 49202-1850
Phone number: 517-740-6239
Mailing Address
-- ERIC MIKELAIT LMSW
3008 S WOODDALE DR
JACKSON, MI 49203-3767
Phone number: 517-740-6239