PHILIP MICHAEL MICKULAS

HEMPSTEAD, NY
NPI1275982639
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  PR014494-1)
Enumeration Date2016-06-07
Last Update Date2016-06-07
Business Address
Mr. PHILIP MICHAEL MICKULAS LCSW
115 HOLLY AVE
HEMPSTEAD, NY 11550-5209
Phone number: 516-456-1189
Mailing Address
Mr. PHILIP MICHAEL MICKULAS LCSW
115 HOLLY AVE
HEMPSTEAD, NY 11550-5209
Phone number: 516-456-1189
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