WILLIAM MICKENS

AYLETT, VA
NPI1598198962
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: VA  2063)
Enumeration Date2013-08-20
Last Update Date2013-08-21
Business Address
Mr. WILLIAM MICKENS QMHP
5833 RICHMOND TAPPAHANNOCK HWY # 108
AYLETT, VA 23009-3007
Phone number: 804-387-0426
Mailing Address
Mr. WILLIAM MICKENS QMHP
5833 RICHMOND TAPPAHANNOCK HWY # 108
AYLETT, VA 23009-3007
Phone number: 804-387-0426
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