| NPI | 1376707463 |
|---|---|
| Other Name | DAVID G. MIKKOLA LMSW PC |
| Entity Type | Organization |
| Authorized Contact | DAVID GEORGE MIKKOLA President 248-644-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 680103141) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |