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1649923459
MACIEJ MICIAK
HENDERSONVILLE, TN
NPI
1649923459
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Former Name
MIKE MICIAK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: TN 5815)
Enumeration Date
2022-02-01
Last Update Date
2024-08-28
Business Address
MACIEJ MICIAK LPC/MHSP
311 E MAIN ST STE 4
HENDERSONVILLE, TN 37075-2582
Phone number: 615-815-0895
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Mailing Address
MACIEJ MICIAK LPC/MHSP
121 WINDMILL POINTE CIR
HENDERSONVILLE, TN 37075-4885
Phone number:
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