| NPI | 1306689617 |
|---|---|
| Former Legal Business Name | MIKHAELA CREEKMORE LLC |
| Entity Type | Organization |
| Authorized Contact | MIKHAELA CREEKMORE CEO 608-201-0591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |