Individual
MICHELE MILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1772 STIEGER LAKE LN, VICTORIA, MN 55386-7723
(952) 443-9888
Mailing address
PO BOX 34, VICTORIA, MN 55386-0034
(952) 443-9888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9797
MN
Other
Enumeration date
11/17/2016
Last updated
03/02/2021
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