MICHAEL MICKELSON, LCSW

Social Worker - Clinical

Active Individual
NPI: 1780928093

Practice Address

2360 E PERSHING BLVD
Cheyenne, WY 82001

Phone: (307) 778-7550

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LCSW1145 (WY)

Frequently Asked Questions

NPI 1780928093 is the National Provider Identifier for MICHAEL MICKELSON, LCSW, a Social Worker - Clinical provider located in Cheyenne, WY. This NPI was enumerated on November 27, 2012.
MICHAEL MICKELSON, LCSW practices at 2360 E PERSHING BLVD, Cheyenne, WY 82001.

Quick Facts

NPI
1780928093
Type
Individual
Enumerated
Nov 27, 2012
Last Updated
Apr 27, 2020

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