JO MIKE
Psychologist - School
Active
Individual
NPI: 1104571827
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - School | 103TS0200X | Yes | AN513619 (LA) |
Frequently Asked Questions
NPI 1104571827 is the National Provider Identifier for JO MIKE, a Psychologist - School provider located in Thibodaux, LA. This NPI was enumerated on February 22, 2022.
JO MIKE practices at 110 BOWIE RD, Thibodaux, LA 70301.
Quick Facts
- NPI
- 1104571827
- Type
- Individual
- Enumerated
- Feb 22, 2022
- Last Updated
- Feb 22, 2022
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