Lewis Reid Mikesell LCSW

NPI 1760433056 - Social Worker - 1041C0700X

NPI Details
NPI 1760433056
Gender Male
Enumeration Date 05/12/2006
Last Updated 03/16/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
2377 PRINCESS ANNE RD
VIRGINIA BEACH VA, 23456-3535, US
Phone (757) 427-5987
Fax (757) 563-0887
Business Location
2377 PRINCESS ANNE RD
VIRGINIA BEACH VA, 23456-3535, US
Phone (757) 427-5987
Fax (757) 563-0887
Toxanomy
Taxonomy Code 1041C0700X
License State Virginia
License Number 0904000182
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According to our database, Mr. Lewis Reid Mikesell LCSW NPI is 1760433056, taxonomy code is 1041C0700X and license number is 0904000182, license state is located at Virginia. Lewis Reid Mikesell LCSW physically located at 2377 Princess Anne Rd, Virginia Beach VA, 23456-3535. NPI Number Lewis Reid Mikesell LCSW has the Individual type.

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1760433056 NPI number is provided on an as is basis without warranty of any kind. 1760433056 is maintained by the National Plan & Provider Enumeration System. The contents of Lewis Reid Mikesell LCSW are for informational purposes only.