Thomas Eugene Mikoda LCSW-R

NPI 1093159501 - Social Worker - 1041C0700X

NPI Details
NPI 1093159501
Gender Male
Enumeration Date 04/26/2013
Last Updated 04/26/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2384 COLESVILLE RD
HARPURSVILLE NY, 13787-1727, US
Phone (607) 693-3765
Fax
Business Location
2384 COLESVILLE RD
HARPURSVILLE NY, 13787-1727, US
Phone (607) 693-3765
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number RO75271-1
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According to our database, Mr. Thomas Eugene Mikoda LCSW-R NPI is 1093159501, taxonomy code is 1041C0700X and license number is RO75271-1, license state is located at New York. Thomas Eugene Mikoda LCSW-R physically located at 2384 Colesville Rd, Harpursville NY, 13787-1727. NPI Number Thomas Eugene Mikoda LCSW-R has the Individual type.

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1093159501 NPI number is provided on an as is basis without warranty of any kind. 1093159501 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Eugene Mikoda LCSW-R are for informational purposes only.