Search › Florida › 1041C0700X
Mickettric Mann, LCSW, MCAP
NPI 1427450105 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6708 Plantation Rd Ste B3
Pensacola, FL 32504 - Phone
- (850) 207-7085
- Fax
- (850) 465-3255
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida