Mikaela Rose Andrea, LLMSW
Social Worker, Clinical in Holland, MI. Individual provider (NPI-1).
NPI number1982907507
StatusActive
Last updated in NPPESAug 29, 2013
Details
- NPI
- 1982907507
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mikaela Rose Andrea
- Credential
- LLMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2010
- Last updated
- Aug 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801092475 | MI | Yes |
Other names
- Mikaela Rose Halsey (Other Name)
Practice location
602 Michigan AveHolland, MI 49423-4918
Phone 616-394-3507
Mailing address
602 Michigan AveHolland, MI 49423-4918
Phone 616-392-5141
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