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NPI Code Detail

MEDICARE: MS. LAURA L. MIKA LMSW

MEDICARE:  MS. LAURA L. MIKA  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerMSW012165GA

General Provider Information

NPI Number : 1700663382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA L. MIKA LMSW
Provider Business Mailing Address
First Line : 2298 BROCKETT RD
Second Line :
City : TUCKER
State : GA
Zip : 30084-4414
Country : US
Telephone Number : 706-425-8900
Fax Number :
Provider Business Practice Location Address
First Line : 2298 BROCKETT RD
Second Line :
City : TUCKER
State : GA
Zip : 30084-4414
Country : US
Telephone Number : 706-425-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2023
Last Update Date : 06/05/2026

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Directions to “ MS. LAURA L. MIKA LMSW” Practice Location

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