| NPI | 1356790679 |
|---|---|
| Professional Name | MICA CONNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019036740) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008420A) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-07-05 |