Individual ProviderWenona H MickanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1085 Maple St, Farmington, MO 63640-1955(573) 747-2438PECOS EnrollmentBased on the most recent information from CMS, provider Wenona H Mickan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1013922509Provider TypeIndividualFull NameMickan, Wenona HTitleMrs.CredentialMSWGenderFemaleSole ProprietorNoEnumeration Date7/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1085 Maple St, Farmington, MO 63640-1955Phone(573) 747-2438FaxUnlisted FaxMailing LocationMailing Address1430 Olive St, Suite 400, Saint Louis, MO 63103-2303Phone(573) 747-2438Fax(573) 756-4361Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer