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Individual
LAURA MICHIE
Active
Individual
LAURA MICHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01642
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118118
AETNA HMO
—
01
—
216682996
TRICARE
—
01
—
273799
MAMSI
—
01
—
5060511
AETNA NON HMO
—
01
—
510BDO-81032101
CAREFIRST BLUECROSS
MD
01
—
T615-0005
CAREFIRST BLUECHOICE
DC
Enumeration date
07/21/2005
Last updated
01/04/2016
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