Provider Demographics
NPI:1497355770
Name:MIKHAIL, MONICA MALANY (BA SOCIAL WORK)
Entity Type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:MALANY
Last Name:MIKHAIL
Suffix:
Gender:F
Credentials:BA SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5817 NANEVA CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2517
Mailing Address - Country:US
Mailing Address - Phone:313-573-5342
Mailing Address - Fax:
Practice Address - Street 1:90 SELDEN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2062
Practice Address - Country:US
Practice Address - Phone:313-573-5342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management