Individual
MS. STEPHANIE MARIE MICAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 N FEDERAL HWY STE 2, POMPANO BEACH, FL 33064-6519
(888) 880-9270
(954) 342-0273
Mailing address
296 FALLINGLEAF DR, RAEFORD, NC 28376-5485
(252) 412-2146
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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